institution
Michael J. Petersen, D.d.s., P.a.
Dental Clinic/Center in Roseville, Minnesota
NPI 1053935916

Michael J. Petersen, D.d.s., P.a. is a Dental Clinic/Center based in Roseville, MN and is specialized in Dental. Michael J. Petersen, D.d.s., P.a. practices in Roseville, MN. The NPI Number for Michael J. Petersen, D.d.s., P.a. is 1053935916 and holds a License No. (Minnesota).

The current practice location address for Michael J. Petersen, D.d.s., P.a. is 3101 Old Highway 8 Ste 303, Roseville, MN and can be reached out via phone at 651-636-0840.

Location: 3101 Old Highway 8 Ste 303, Roseville, MN, 55113-1076
institution
Provider Profile Details
NPI Number
1053935916
Provider Name
Michael J. Petersen, D.d.s., P.a.
Credential
Provider Entity Type
Organization
Address
3101 Old Highway 8 Ste 303, Roseville, MN, 55113-1076
Phone Number
651-636-0840
Fax Number
Provider Enumeration Date
06/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3101 Old Highway 8 Ste 303
City
State
Zip
55113-1076
Phone Number
651-636-0840
Fax Number
person
Provider Business Mailing Address Details
Address
3101 Old Highway 8 Ste 303
City
State
Zip
55113-1076
Phone Number
651-636-0840
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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