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1073697157
TROY R PETERSEN
GRAND FORKS, ND
NPI
1073697157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ND 1897)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Dr. TROY R PETERSEN DMD MD
1165C SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58201-4007
Phone number: 701-772-7379
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Mailing Address
Dr. TROY R PETERSEN DMD MD
1165C SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58201-4007
Phone number: 701-772-7379
Copy
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