| Lorin Peterson Dds | |
|
101 N Harris Ave Cle Elum WA 98922-1119 | |
| (509) 674-5153 | |
| (509) 674-7354 |
| Full Name | Lorin Peterson Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 N Harris Ave, Cle Elum, Washington |
| Authorized Official Name and Position | Lorin D Peterson (OWNER/DENTIST) |
| Authorized Official Contact | 5096745153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorin Peterson Dds Po Box 580 Cle Elum WA 98922-0580 Ph: (509) 674-5153 | Lorin Peterson Dds 101 N Harris Ave Cle Elum WA 98922-1119 Ph: (509) 674-5153 |
| NPI Number | 1841745247 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841745247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00005472 (Washington) | Primary |
Wesley Johnson ,dds,inc.,ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Harris Ave, Cle Elum, WA 98922 Phone: 509-674-5153 Fax: 509-674-7354 |