Individual
DR. KATHERINE R. PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10230 BERKELEY PLACE DR STE 200, CHARLOTTE, NC 28262-1203
(704) 688-7588
Mailing address
133 CREEK SIDE DR, MOUNT HOLLY, NC 28120-9247
(704) 577-2798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10553
NC
Other
Enumeration date
08/06/2007
Last updated
03/02/2021
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