Individual
DR. DAVID NORMAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22 2ND AVE S, SAUK RAPIDS, MN 56379-1408
(320) 252-7806
Mailing address
PO BOX 237, SAUK RAPIDS, MN 56379-0237
(320) 252-7806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MN7589
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MN7589
STATE LICENSE
MN
Enumeration date
12/14/2006
Last updated
07/08/2007
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