Individual
DR. DONALD JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1579 HAMLINE AVE N, FALCON HEIGHTS, MN 55108-2107
(651) 646-8851
(651) 646-4477
Mailing address
1901 SIMPSON ST, FALCON HEIGHTS, MN 55113-6145
(651) 644-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10383
MN
Other
Enumeration date
12/08/2006
Last updated
05/21/2021
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