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1588493563
CHRISTIAN PETERSON
MERIDIAN, ID
NPI
1588493563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID 3061575)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
CHRISTIAN PETERSON DDS
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 406-750-7640
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Mailing Address
CHRISTIAN PETERSON DDS
2743 W PEAK CLOUD LN APT 410
MERIDIAN, ID 83642-8862
Phone number: 406-750-7640
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