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Mr. Steven R Peters, LICENSEDENTURIST
Denturist in Shelton, Washington
NPI 1215000666

Steven R Peters is a Denturist based in Shelton, WA. Steven R Peters practices in Shelton, WA and has the professional credentials of LICENSEDENTURIST. The NPI Number for Steven R Peters is 1215000666 and holds a License No. DN00000236 (Washington).

The current practice location address for Steven R Peters is 3100 Se Old Olympic Hwy, Shelton, WA and can be reached out via phone at 360-427-1784 and via fax at 360-427-1818.

Location: 3100 Se Old Olympic Hwy, Shelton, WA, 98584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215000666
Provider Name
Steven R Peters
Credential
LICENSEDENTURIST
Provider Entity Type
Individual
Gender
Male
Address
3100 Se Old Olympic Hwy, Shelton, WA, 98584
Phone Number
360-427-1784
Fax Number
360-427-1818
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5040365 05 WA
institution
Provider Business Practice Location Address Details
Address
3100 Se Old Olympic Hwy
City
Shelton
State
Washington
Zip
98584
Phone Number
360-427-1784
Fax Number
360-427-1818
person
Provider Business Mailing Address Details
Address
3100 Se Old Olympic Hwy
City
Shelton
State
Washington
Zip
98584
Phone Number
360-427-1784
Fax Number
360-427-1818
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000236 (Washington)
Definition
Definition to come.
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