DR. John Robert Petersen, DDS

NPI #1508422411 in Eagan, Minnesota

Provider Information

NPI Number: 1508422411
Entity Type: Individual
Name: DR. John Robert Petersen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 15, 2019
Last Updated: May 15, 2019

Practice Location

Address: 4555 ERIN DR
City: Eagan
State: Minnesota
ZIP Code: 55122-3398
Phone: (651) 681-9044

Specialties & Taxonomy Codes

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

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