SearchIdahoGeneral Practice Dentistry

Wayne Peterson, D.M.D

NPI 1194803577 · on the registry since 2006

Practice

Address
2427 N Cole Rd
Boise, ID 83704
Phone
(208) 322-8877
Organisation at this address
Wayne R. Peterson, Dmd, Pc
West Boise Wellness Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho