Organization · Type 2 NPI

Wayne R. Peterson, Dmd, PC

Dental Clinic/Center · Boise, ID

NPI number 1205083714 Active

About NPI 1205083714

Wayne R. Peterson, Dmd, PC's National Provider Identifier is 1205083714, issued on Aug 26, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on Aug 26, 2008.