Individual
DR. MALORY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 CLINTON LN, NORTHFIELD, MN 55057-3295
(507) 645-5264
Mailing address
2030 SIBLEY VIEW CT, NORTHFIELD, MN 55057-3206
(507) 259-1082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14784
MN
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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