Katie D. Peterson, Dds, PC

NPI #1326301359 in Mountain Grove, Missouri

Provider Information

NPI Number
1326301359
Entity Type
Organization
Organization Name
Katie D. Peterson, Dds, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 25, 2012
Last Updated
Jun 25, 2012

Practice Location

Address
920 N MAIN ST
ZIP Code
65711-1315
Phone
(417) 926-4910

Authorized Official

Name
DR. KATIE DAWN PETERSON, DDS
Title
PRESIDENT
Phone
(417) 926-4910

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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