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1407948060
KRISTY LYNN PETERSEN
WOODBURY, MN
NPI
1407948060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D12087)
Additional Taxonomies
122300000X Dentist
(Licence: WI 5884015)
Enumeration Date
2006-09-29
Last Update Date
2018-01-10
Business Address
Dr. KRISTY LYNN PETERSEN DDS
10150 CITY WALK DR APT C
WOODBURY, MN 55129-9270
Phone number: 651-714-5555
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Mailing Address
Dr. KRISTY LYNN PETERSEN DDS
10150 CITY WALK DR APT C
WOODBURY, MN 55129-9270
Phone number: 651-714-5555
Copy
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