Individual
DR. PETER JAY PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5001 WINNETKA AVE N, NEW HOPE, MN 55428-4230
(763) 533-0055
Mailing address
PO BOX 131947, ROSEVILLE, MN 55113-0022
(651) 357-8647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10402
MN
Other
Enumeration date
01/10/2007
Last updated
07/29/2011
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