Individual
DR. DONALD C PETERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 12TH AVE, SUITE 202, CORALVILLE, IA 52241
(319) 351-5439
(319) 354-0491
Mailing address
501 12TH AVE, SUITE 202, CORALVILLE, IA 52241
(319) 351-5439
(319) 354-0491
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08193
IA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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