KELSEY PETERSON, DMD

General Practice Dentistry · EMMETT, ID

Individual Active NPI 1396069712

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Dentistry1223G0001XD-4282ID
Orthodontics and Dentofacial Orthopedics Dentistry1223X0400XD-4282-ORID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.