NPI 1609475383

Patrice G Petersen, RDH

Practitioner Dental Hygienist Lantana, FL

Practice location

Address: 1250 Southwinds Dr, Lantana, FL 33462-1459
Phone: (561) 642-1000
Mailing address: 1515 N Flagler Dr, West Palm Beach, FL 33401-3428

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH18003 (FL)

Other Dental Hygienist providers in Florida →

Registry record

NPI: 1609475383
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2020
Record last updated: 22 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.