Individual
DR. CARRIE BETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1605 SE 29TH ST, TOPEKA, KS 66605-2601
(785) 266-9100
Mailing address
1605 SE 29TH ST, TOPEKA, KS 66605-2601
(785) 856-4159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60640
KS
Other
Enumeration date
03/25/2009
Last updated
05/26/2009
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