Kurt E. Peterson, DDS
1604 W. Riverside Ave
Spokane, WA 99201
ph (509) 747-2183
fax (509) 747-3990
Please include current bitewings, any FMX or PANO taken within the last 5 years, probe readings and dates of 4341, if any. All records can be faxed to the number above or emailed to email@example.com.
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1604 W. Riverside Avenue • Spokane, WA 99201
www.petersondental.com • firstname.lastname@example.org
(509) 747-2183 ph
(509) 747-3990 fax
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