Hettinger Family Dental, P.c.
NPI #1851001168 in Hettinger, North Dakota
Provider Information
- NPI Number
- 1851001168
- Entity Type
- Organization
- Organization Name
- Hettinger Family Dental, P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 28, 2022
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 204 HIGHWAY 12 E
- City
- Hettinger
- State
- North Dakota
- ZIP Code
- 58639-9687
- Phone
- (701) 567-4302
Authorized Official
- Name
- DR. BRODY W PETERSON, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (605) 639-0448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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