Individual
PATRICE G PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1250 SOUTHWINDS DR, LANTANA, FL 33462-1459
(561) 642-1000
Mailing address
1515 N FLAGLER DR, WEST PALM BEACH, FL 33401-3428
(561) 642-1000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH18003
FL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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