Organization
PETERS ORTHODONTIC SPECIALISTS
Active
Organization
PETERS ORTHODONTIC SPECIALISTS
Active
Other names
Dr. Nicole Peters Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY NICOLE PETERS D.D.S., M.S. (ORTHODONTIST)
(651) 578-8401
Entity
Organization
Contact information
Practice address
1099 HELMO AVE N STE 200, OAKDALE, MN 55128-6037
(651) 578-8401
(651) 731-6836
Mailing address
1099 HELMO AVE N STE 200, OAKDALE, MN 55128-6037
(651) 578-8401
(651) 731-6836
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11028
MN
Other
Enumeration date
06/04/2007
Last updated
10/20/2015
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