Individual
NATALIE A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13550 26TH AVE N, PLYMOUTH, MN 55441-3650
(651) 557-0287
Mailing address
13550 26TH AVE N, PLYMOUTH, MN 55441-3650
(651) 557-0287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5600015
WI
122300000X
Dentist
Primary
D11685
MN
Other
Enumeration date
03/14/2006
Last updated
05/21/2015
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