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1558399261
KELLY B PETERSON
MARYSVILLE, WA
NPI
1558399261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 6879)
Enumeration Date
2006-06-29
Last Update Date
2009-10-05
Business Address
Dr. KELLY B PETERSON D.D.S.
5100 GROVE ST STE B
MARYSVILLE, WA 98270-4492
Phone number: 360-658-7750
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Mailing Address
Dr. KELLY B PETERSON D.D.S.
5100 GROVE ST STE B
MARYSVILLE, WA 98270-4492
Phone number: 360-658-7750
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