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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETERSEN FAMILY DENTAL CLINIC PA

Active Organization

PETERSEN FAMILY DENTAL CLINIC PA is a General Dentistry organization located in LAKEVILLE, Minnesota. NPI 1720199953 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LAKEVILLE, MN

Registration Details

NPI Number
1720199953
Provider Type
Organization
NPI Issued
Aug 31, 2006 (19.959665304852 yrs)
Last Updated
Aug 22, 2020
License
D10525 (MN)

Practice Information

Address
9202 202ND ST W
SUITE 201
LAKEVILLE, MN, 550447915
Browse MN providers · Browse ZIP 55044
Phone
9524692818
Fax
9524692566
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.