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Search › Idaho › 363LP2300X

Tawni Peterson

NPI 1508226226 · on the registry since 2016 · sole proprietor

Practice

Address
205 N Berkley St
Council, ID 83612
Phone
(208) 250-0970
Organisation at this address
Rogue River Sleep Dentistry
Adams County Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
163W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-16

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