Peterson, Kelly B
Peterson, Kelly B is an individual health care provider with primary practice located at 5100 Grove St Ste B, Marysville WA 98270-4492. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peterson, Kelly B can be contacted via phone (360) 658-7750.Contact Information
Primary practice address
5100 Grove St Ste B
Marysville WA 98270-4492
Phone: (360) 658-7750
Fax: (360) 658-1297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 6879 | Washington |
Profile Details
NPI number | 1558399261 |
---|---|
LBN Legal business name | Peterson, Kelly B |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Oct 5th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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