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1689782864
MARK L PETERSON
RIGBY, ID
NPI
1689782864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D 1758)
Enumeration Date
2006-08-28
Last Update Date
2007-07-09
Business Address
Dr. MARK L PETERSON DDS
127 1/2 E SHORT ST
RIGBY, ID 83442-1422
Phone number: 208-745-6536
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Mailing Address
Dr. MARK L PETERSON DDS
127 1/2 E SHORT ST
RIGBY, ID 83442-1422
Phone number: 208-745-6536
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