Individual
WILLIAM H PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
917 1ST AVE SE, LONG PRAIRIE, MN 56347
(320) 732-6141
(320) 732-6543
Mailing address
917 1ST AVE SE, LONG PRAIRIE, MN 56347
(320) 732-6141
(320) 732-6543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8478
MN
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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