Individual
DR. CHRISTINE GRACE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
STANDING ROCK IHS HOSPITAL, 00N10 NORTH RIVER ROAD, FORT YATES, ND 58538
(701) 854-8219
Mailing address
233 ASPEN AVE, BISMARCK, ND 58503-0204
(701) 258-5253
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1956
ND
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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