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Search › Idaho › Dentist

John Peterson, DMD

NPI 1295875953 · on the registry since 2007 · sole proprietor

Practice

Address
9201 W Overland Rd
Boise, ID 83709
Phone
(208) 375-0185
Fax
(208) 375-0305
Organisation at this address
Peterson Family Dentistry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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