Individual provider · Type 1 NPI

Wayne R. Peterson, DMD

General Practice Dentistry · Boise, ID

NPI number 1194803577 Active

About NPI 1194803577

Wayne R. Peterson, DMD's National Provider Identifier is 1194803577, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Feb 4, 2015.