Bethany Anne Petersen, DDS

NPI #1003170531 in Austin, Texas

Provider Information

NPI Number
1003170531
Entity Type
Individual
Name
Bethany Anne Petersen, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 29, 2012
Last Updated
Jun 29, 2012

Practice Location

Address
4410 E RIVERSIDE DR STE 150
City
Austin
State
Texas
ZIP Code
78741-4759
Phone
(855) 512-7625

Specialties & Taxonomy Codes

Specialty
Dentist

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