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Individual

DANIELLE LOUISE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001742-15
WI

Other

Enumeration date
01/22/2018
Last updated
07/28/2026
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