Individual
HANNAH JEAN PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
551 FRONTAGE DR E, WIGGINS, MS 39577-8120
(601) 476-9007
Mailing address
16170 MCKAY RD, GULFPORT, MS 39503-7000
(662) 820-9001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4315-22
MS
Other
Enumeration date
07/11/2022
Last updated
02/13/2024
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