KELSEY PETERSON, DMD
Dentist - General Practice
Active
Individual
NPI: 1396069712
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | No | D-4282-OR (ID) |
| Dentist - General Practice | 1223G0001X | Yes | D-4282 (ID) |
Frequently Asked Questions
NPI 1396069712 is the National Provider Identifier for KELSEY PETERSON, DMD, a Dentist - General Practice provider located in Emmett, ID. This NPI was enumerated on March 15, 2010.
KELSEY PETERSON, DMD practices at 1312 SOUTH WASHINGTON STREET, Emmett, ID 83617.
Quick Facts
- NPI
- 1396069712
- Type
- Individual
- Enumerated
- Mar 15, 2010
- Last Updated
- Feb 13, 2024
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