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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 CenterInferred 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