GRANT DEE PETERSEN

FORT WAINWRIGHT, AK
NPI1790031128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CO  DEN.00201800)
Enumeration Date2012-08-03
Last Update Date2013-07-16
Business Address
Dr. GRANT DEE PETERSEN D.D.S.
1060 GAFFNEY RD STOP 7500
FORT WAINWRIGHT, AK 99703-5007
Phone number: 907-353-5530
Mailing Address
Dr. GRANT DEE PETERSEN D.D.S.
1060 GAFFNEY RD STOP 7500
FORT WAINWRIGHT, AK 99703-5007
Phone number:
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