Individual
BRODY WILLIAM PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 1ST ST W, DICKINSON, ND 58601-5106
(701) 483-6999
Mailing address
2 1ST ST W STE 215, DICKINSON, ND 58601-5106
(701) 483-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2472
ND
Other
Enumeration date
03/21/2022
Last updated
04/16/2025
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