Timothy A Peterson, DDS, MS

NPI #1477507119 in Minneapolis, Minnesota

Provider Information

NPI Number: 1477507119
Entity Type: Individual
Name: Timothy A Peterson, DDS, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Prosthodontics
Credential: DDS, MS
Enumeration Date: May 19, 2006
Last Updated: Jul 29, 2007

Practice Location

Address: 701 PARK AVE
Address 2: P7
City: Minneapolis
State: Minnesota
ZIP Code: 55415-1623
Phone: (612) 873-2370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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