Organization
PETERSON & PETERSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VACHAREE SRISWAD PETERSON (PRESIDENT)
(651) 774-2959
Entity
Organization
Contact information
Practice address
1224 ARCADE ST, SAINT PAUL, MN 55106-2021
(651) 774-2959
(651) 774-1997
Mailing address
1224 ARCADE ST, SAINT PAUL, MN 55106-2021
(651) 774-2959
(651) 774-1997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
01/31/2006
Last updated
08/22/2020
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