Individual
-JULIE FRANCES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1223 FOULK RD, WILMINGTON, DE 19803-2723
(302) 478-8887
Mailing address
1223 FOULK RD, WILMINGTON, DE 19803-2723
(302) 478-8887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0000876
DE
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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