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1902073174
GORDON CHARLES PETERSON
CEDAR RAPIDS, IA
NPI
1902073174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 6573)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Dr. GORDON CHARLES PETERSON D.D.S.
2701 1ST AVE SE
CEDAR RAPIDS, IA 52402-4834
Phone number: 319-364-5561
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Mailing Address
Dr. GORDON CHARLES PETERSON D.D.S.
2701 1ST AVE SE
CEDAR RAPIDS, IA 52402-4834
Phone number: 319-364-5561
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