Individual
DR. ELISABETH M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 COMO AVENUE, ST. PAUL, MN 55108-1460
(651) 999-4600
(651) 632-8984
Mailing address
2500 COMO AVENUE, ST. PAUL, MN 55108-1460
(651) 999-4600
(651) 632-8984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D12105
MN
Other
Enumeration date
07/01/2009
Last updated
03/30/2012
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