Individual
DR. CARL E PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
446 NEWTON ST, SOUTH HADLEY, MA 01075-2331
(413) 536-4730
Mailing address
446 NEWTON ST, SOUTH HADLEY, MA 01075-2331
(413) 536-4730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15449
MA
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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