DR. Shawn Ray Petersen, D.D.S

NPI #1437363058 in Atlantic, Iowa

Provider Information

NPI Number
1437363058
Entity Type
Individual
Name
DR. Shawn Ray Petersen, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S
Enumeration Date
May 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1501 E 10TH ST
State
Iowa
ZIP Code
50022-1936
Phone
(712) 243-1833

Specialties & Taxonomy Codes

Specialty
Dentist

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