GERALD D. PETERSEN, D.D.S., S.C.

WAUKESHA, WI
NPI1558464891
Entity TypeOrganization
Authorized ContactGERALD D. PETERSEN
Officer
262-548-3555
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-09-05
Last Update Date2020-08-22
Business Address
GERALD D. PETERSEN, D.D.S., S.C.
S22 W22660 EAST BROADWAY STE 2B
WAUKESHA, WI 53186
Phone number: 262-548-3555
Mailing Address
GERALD D. PETERSEN, D.D.S., S.C.
S22 W22660 EAST BROADWAY STE 2B
WAUKESHA, WI 53186
Phone number: 262-548-3555
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