Individual provider · Type 1 NPI

Joshua Petersen

General Practice Dentistry · Rapid City, SD

NPI number 1508424680 Active

About NPI 1508424680

Joshua Petersen's National Provider Identifier is 1508424680, issued on Jun 3, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rapid City, SD. The record was last updated on Jun 3, 2019.