Organization
DR. CARRIE PETERSON DDSPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE NAOMI PETERSON DDS PC (DENTIST)
(701) 232-3379
Entity
Organization
Contact information
Practice address
3226 13TH AVE S, FARGO, ND 58103-3403
(701) 232-3379
(701) 298-0879
Mailing address
3226 13TH AVE S, FARGO, ND 58103-3403
(701) 232-3379
(701) 298-0879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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