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1053935916
MICHAEL J. PETERSEN, D.D.S., P.A.
ROSEVILLE, MN
NPI
1053935916
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Entity Type
Organization
Authorized Contact
MICHAEL J. PETERSEN
Owner, Dentist
651-636-0840
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2020-06-05
Last Update Date
2020-06-05
Business Address
MICHAEL J. PETERSEN, D.D.S., P.A.
3101 OLD HIGHWAY 8 STE 303
ROSEVILLE, MN 55113-1076
Phone number: 651-636-0840
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Mailing Address
MICHAEL J. PETERSEN, D.D.S., P.A.
3101 OLD HIGHWAY 8 STE 303
ROSEVILLE, MN 55113-1076
Phone number: 651-636-0840
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