DR. Michelle Lynn Petersen, D.D.S.
NPI #1063488047 in Prairie Village, Kansas
Provider Information
- NPI Number
- 1063488047
- Entity Type
- Individual
- Name
- DR. Michelle Lynn Petersen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8010 STATE LINE RD
- Address 2
- SUITE 210
- City
- Prairie Village
- State
- Kansas
- ZIP Code
- 66208-3710
- Phone
- (913) 341-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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