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1023270097
LINDSAY W PETERSON
AUSTIN, TX
NPI
1023270097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 24949)
Additional Taxonomies
122300000X Dentist
(Licence: OK 6033)
Enumeration Date
2008-06-30
Last Update Date
2009-09-22
Business Address
LINDSAY W PETERSON D.D.S
500 CANYON RIDGE DR STE F100
AUSTIN, TX 78753-1658
Phone number: 512-837-2900
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Mailing Address
LINDSAY W PETERSON D.D.S
1218 SW MILITARY DR
SAN ANTONIO, TX 78221-1535
Phone number:
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