BETHANY ANNE PETERSEN

AUSTIN, TX
NPI1003170531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  28004)
Enumeration Date2012-06-29
Last Update Date2012-06-29
Business Address
-- BETHANY ANNE PETERSEN DDS
4410 E RIVERSIDE DR STE 150
AUSTIN, TX 78741-4759
Phone number: 855-512-7625
Mailing Address
-- BETHANY ANNE PETERSEN DDS
1620 E RIVERSIDE DR APT 4034
AUSTIN, TX 78741-1026
Phone number: 713-492-7719
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