MR. Ronald Lee Petersen, DDS
NPI #1194830760 in Charleston, Missouri
Provider Information
- NPI Number
- 1194830760
- Entity Type
- Individual
- Name
- MR. Ronald Lee Petersen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 104 NORTH MAIN ST
- City
- Charleston
- State
- Missouri
- ZIP Code
- 63834
- Phone
- (573) 683-2101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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