DR. Steven Blaine Petersen, DDS

NPI #1184840365 in Lakeville, Minnesota

Provider Information

NPI Number: 1184840365
Entity Type: Individual
Name: DR. Steven Blaine Petersen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9202 202ND ST W
Address 2: SUITE 201
City: Lakeville
State: Minnesota
ZIP Code: 55044-7915
Phone: (952) 469-2818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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