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Heather Petricig, DDS

NPI 1134358476 · on the registry since 2009 · sole proprietor

Practice

Address
1101 S Columbia Rd Ste B
Grand Forks, ND 58201
Phone
(218) 230-4352
Organisation at this address
1101 Dental, Pllc
Maves Eyewear, Llc
Hans Bjellum, Md, Pc
Rapidcare Urgent Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
Licence states on file
WI, ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota