DR. Katie Louise Peterson, DDS

NPI #1124313143 in Bemidji, Minnesota

Provider Information

NPI Number: 1124313143
Entity Type: Individual
Name: DR. Katie Louise Peterson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 17, 2011
Last Updated: Aug 14, 2013

Practice Location

Address: 1405 ANNE ST NW
Address 2: NORTHERN DENTAL ACCESS CENTER
City: Bemidji
State: Minnesota
ZIP Code: 56601-5113
Phone: (218) 444-9646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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