Individual
MELISSA R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX L, SELDOVIA, AK 99663-0250
(907) 234-7898
(907) 234-7865
Mailing address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
(907) 226-2230
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DENA338
AK
Other
Enumeration date
02/25/2019
Last updated
12/20/2019
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