Individual
KAREN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
600 RICHARDSON DR, BLD. # 634, FORT RICHARDSON, AK 99505-8310
(907) 384-2483
Mailing address
600 RICHARDSON DR, BLD. # 634, FORT RICHARDSON, AK 99505-8310
(907) 384-2483
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
413
AK
124Q00000X
Dental Hygienist
458
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413
STATE OF AK DENTAL HYGIENE LICENSE
AK
01
—
458
STATE OF AK LOCAL ANESTHETIC LICENSE
AK
Enumeration date
06/13/2016
Last updated
06/13/2016
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