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BRYAN PETERSEN, D.D.S.

D.D.S.

Dentist

NPI: 1205994373Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

D-3101(ID)

Contact & Hours

Address
120 N A ST
GRANGEVILLE, ID 83530

Quick Facts

NPI
1205994373
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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