Individual
BRIDGET PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
(701) 627-4750
Mailing address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
(701) 627-4750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10974
OR
1223G0001X
General Practice Dentistry
Primary
2386
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2018
Last updated
07/31/2020
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