MARK L PETERSON

RIGBY, ID
NPI1689782864
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D 1758)
Enumeration Date2006-08-28
Last Update Date2007-07-09
Business Address
Dr. MARK L PETERSON DDS
127 1/2 E SHORT ST
RIGBY, ID 83442-1422
Phone number: 208-745-6536
Mailing Address
Dr. MARK L PETERSON DDS
127 1/2 E SHORT ST
RIGBY, ID 83442-1422
Phone number: 208-745-6536