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1134208630
DOUGLAS GEORGE PETERSEN
EDINA, MN
NPI
1134208630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MN d10423)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS GEORGE PETERSEN DDS
6545 FRANCE AVE S #366
EDINA, MN 55435-2131
Phone number: 952-926-2763
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Mailing Address
Dr. DOUGLAS GEORGE PETERSEN DDS
6545 FRANCE AVE S #366
EDINA, MN 55435-2131
Phone number: 952-926-2763
Copy
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