Individual
DR. BETSY L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
523 W CLINTON ST, ITHACA, NY 14850-5233
(607) 272-2081
(607) 272-8629
Mailing address
523 W CLINTON ST, ITHACA, NY 14850-5233
(607) 272-2081
(607) 272-8629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043327-1
NY
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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