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1477507119
TIMOTHY A PETERSON
MINNEAPOLIS, MN
NPI
1477507119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: MN D7957)
Enumeration Date
2006-05-19
Last Update Date
2007-07-29
Business Address
-- TIMOTHY A PETERSON DDS, MS
701 PARK AVE P7
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-2370
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Mailing Address
-- TIMOTHY A PETERSON DDS, MS
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number:
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