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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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