WAYNE R. PETERSON, DMD, PC is a dental clinic center in Boise, ID. WAYNE R. PETERSON, DMD, PC NPI is 1205083714. The provider is registered as an organization entity type.
The provider's business location address is:
2427 N COLE RD
BOISE, ID
ZIP 83704-907
Phone: (208) 322-8877
The provider's authorized official is Wayne R Peterson .
The authorized official title is President and has the following contact phone number (208) 322-8877.
The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.