Kenneth L Peterson D.M.D.

NPI 1053321497 - Dentist - 1223G0001X

NPI Details
NPI 1053321497
Gender Male
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
165 NW 1ST AVE
JOHN DAY OR, 97845-1101, US
Phone (541) 575-0363
Fax
Business Location
165 NW 1ST AVE
JOHN DAY OR, 97845-1101, US
Phone (541) 575-0363
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 3986
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According to our database, Dr. Kenneth L Peterson D.M.D. NPI is 1053321497, taxonomy code is 1223G0001X and license number is 3986, license state is located at Oregon. Kenneth L Peterson D.M.D. physically located at 165 Nw 1st Ave, John Day OR, 97845-1101. NPI Number Kenneth L Peterson D.M.D. has the Individual type.

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1053321497 NPI number is provided on an as is basis without warranty of any kind. 1053321497 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Peterson D.M.D. are for informational purposes only.