Dr. WAYNE MICHAEL PETERSON -- DMD
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1235179466- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 1138 W A ST, MOSCOW, ID, 838432127
- Phone
- (208) 882-9310
- Fax
- (208) 882-8601
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D-1686