Individual
DR. ROBERT K PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7300 FRANCE AVE S, #110, EDINA, MN 55435
(952) 831-0414
(952) 831-1116
Mailing address
7300 FRANCE AVE S, #110, EDINA, MN 55435
(952) 831-0414
(952) 831-1116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8409
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497222800
STATE OF MINNESOTA
MN
Enumeration date
12/18/2006
Last updated
08/18/2014
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