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Matthew J Peterson, Dds, Pa
Dental Clinic/Center in Cambridge, Minnesota
NPI 1366539082

Matthew J Peterson, Dds, Pa is a Dental Clinic/Center based in Cambridge, MN and is specialized in Dental. Matthew J Peterson, Dds, Pa practices in Cambridge, MN. The NPI Number for Matthew J Peterson, Dds, Pa is 1366539082 and holds a License No. 11782 (Minnesota).

The current practice location address for Matthew J Peterson, Dds, Pa is 124 1St Ave E, Cambridge, MN and can be reached out via phone at 763-689-1554.

Location: 124 1St Ave E, Cambridge, MN, 55008-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366539082
Provider Name
Matthew J Peterson, Dds, Pa
Credential
Provider Entity Type
Organization
Address
124 1St Ave E, Cambridge, MN, 55008-1209
Phone Number
763-689-1554
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
307G4CA 01 MN BLUE CROSS BLUE SHIELD
7845201 01 MN MN TAX ID #
institution
Provider Business Practice Location Address Details
Address
124 1St Ave E
City
Cambridge
State
Minnesota
Zip
55008-1209
Phone Number
763-689-1554
Fax Number
person
Provider Business Mailing Address Details
Address
124 1St Ave E
City
Cambridge
State
Minnesota
Zip
55008-1209
Phone Number
763-689-1554
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
11782 (Minnesota)
Definition
Definition to come...
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