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1467715474
CRAIG A. PETERSON
KENOSHA, WI
NPI
1467715474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 6941-15)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
-- CRAIG A. PETERSON D.M.D
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-656-0044
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Mailing Address
-- CRAIG A. PETERSON D.M.D
1400 COLLEGE AVE
RACINE, WI 53403-1991
Phone number: 309-236-5891
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