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1417030057
DONALD C PETERSON
CORALVILLE, IA
NPI
1417030057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IA 08193)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Dr. DONALD C PETERSON DDS
501 12TH AVE SUITE 202
CORALVILLE, IA 52241
Phone number: 319-351-5439
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Mailing Address
Dr. DONALD C PETERSON DDS
501 12TH AVE SUITE 202
CORALVILLE, IA 52241
Phone number: 319-351-5439
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