Most Relevant Information
Provider Data
| NPI Number: | 1003815085 |
| Provider Name: | JANET P PETERSON DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 6102 |
Most Important Dates
| Enumeration Date: | 07/20/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
853 NW MONROE AVE
CORVALLIS
OR
973306352
Practice Location Phone/Fax
| Phone: | 5417541550 |
| Fax: | 5417540558 |
Provider Mailing Location
2360 SE RYAN ST
CORVALLIS
OR
973332031
Provider Mailing Phone/Fax
| Phone: | 5417583448 |
| Fax: |