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1083734958
BRIAN JON PETERSBURG
BRIGHTON, MI
NPI
1083734958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901010174)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Dr. BRIAN JON PETERSBURG D.D.S.
8641 W GRAND RIVER AVE SUITE 6
BRIGHTON, MI 48116-4353
Phone number: 810-227-4224
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Mailing Address
Dr. BRIAN JON PETERSBURG D.D.S.
6355 BRIGHTON RD
BRIGHTON, MI 48116-9742
Phone number: 810-227-5874
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