Joshua Petersen Valid NPI
Individual provider · General Practice Dentistry · Rapid City, SD
- NPI
- 1508424680
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D1231 (SD)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-06-03
- Last updated
- 2019-06-03
Practice location
1687 Tablerock Rd
Rapid City, SD 57701-5495
(605) 342-6652