Individual
KELSEY NUTT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7760 MOFFETT RD, MOBILE, AL 36618-4136
(251) 649-1333
Mailing address
1569 VASSAR CT, MOBILE, AL 36695-6112
(870) 313-1322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6426
AL
Other
Enumeration date
06/20/2017
Last updated
11/15/2017
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