Organization
ROBERT K. PETERSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K. PETERSON DDS (OWNER)
(952) 831-0414
Entity
Organization
Contact information
Practice address
7300 FRANCE AVE S, #110, EDINA, MN 55435-4525
(952) 831-0414
(952) 831-1116
Mailing address
7300 FRANCE AVE S, #110, EDINA, MN 55435-4525
(952) 831-0414
(952) 831-1116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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