Individual
DR. JACOB MASON PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1011 BEL AIR LN NW, ROCHESTER, MN 55901-6992
(507) 288-1188
(507) 529-4065
Mailing address
1011 BEL AIR LN NW, ROCHESTER, MN 55901-6992
(507) 288-1188
(507) 529-4065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12668
MN
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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