Organization
BELLE PLAINE FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BLAINE PETERSEN D.D.S. (OWNER)
(952) 873-2796
Entity
Organization
Contact information
Practice address
210 N MERIDIAN ST, SUITE 2, BELLE PLAINE, MN 56011-1828
(952) 873-2796
(952) 873-5675
Mailing address
210 N MERIDIAN ST, SUITE 2, BELLE PLAINE, MN 56011-1828
(952) 873-2796
(952) 873-5675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10525
MN
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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