DOUGLAS GEORGE PETERSEN

EDINA, MN
NPI1134208630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: MN  D10423)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
DR. DOUGLAS GEORGE PETERSEN DDS
6545 FRANCE AVE S #366
EDINA, MN 55435-2131
Phone number: 952-926-2763
Mailing Address
DR. DOUGLAS GEORGE PETERSEN DDS
6545 FRANCE AVE S #366
EDINA, MN 55435-2131
Phone number: 952-926-2763