Individual
DR. PETER SHIGEKI FRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7321 BALMER STREET BLDG #570, HILL AFB, 75TH MDG/SGD, HILL AFB, UT 84056
(801) 777-7011
(801) 777-0590
Mailing address
7321 BALMER STREET BLDG #570, HILL AFB, 75TH MDG/SGD, HILL AFB, UT 84056
(801) 777-7011
(801) 777-0590
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
102214
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2010
Last updated
08/04/2020
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