Petersen Family Dental Clinic PA
NPI #1720199953 in Lakeville, Minnesota
Provider Information
- NPI Number
- 1720199953
- Entity Type
- Organization
- Organization Name
- Petersen Family Dental Clinic PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. STEVEN BLAINE PETERSEN, D.D.S.
- Title
- OWNER
- Phone
- (952) 469-2818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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