| Peterson Dental Associates, P.a. | |
|
816 W St Germain St #101 St Cloud MN 56301-3511 | |
| (320) 252-2454 | |
| (320) 252-2232 |
| Full Name | Peterson Dental Associates, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 816 W St Germain St #101, St Cloud, Minnesota |
| Authorized Official Name and Position | Russell Thomas Peterson (PRESIDENT OF CORP) |
| Authorized Official Contact | 3202522454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Dental Associates, P.a. 816 W St Germain St #101 St Cloud MN 56301-3511 Ph: (320) 252-2454 | Peterson Dental Associates, P.a. 816 W St Germain St #101 St Cloud MN 56301-3511 Ph: (320) 252-2454 |
| NPI Number | 1396856100 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396856100 | NPI | - | NPPES |
| 398350100 | Medicaid | MN |
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