TAYNE PETERSON

specializing in dentist in Burley, Idaho

NPI: 1952960205

Provider Type

1

Practice Locations

Mailing Location

2200 PARK AVE

BURLEY, ID 83318

📞 2088786684

Practice Location

2200 PARK AVE STE 2

BURLEY, ID 83318

📞 2088786684

📠 2086783170

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:6/11/2019
Last Updated:9/7/2022

Credentials

Primary Credential: