Individual
ERIC PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8500 42ND AVE N, NEW HOPE, MN 55427-1184
(763) 537-6070
Mailing address
8815 N BROOK CIR N, BROOKLYN PARK, MN 55428-2660
(763) 670-5681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13352
MN
Other
Enumeration date
04/06/2013
Last updated
03/05/2015
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