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Contact Information

KARI L PETERSON, DENTIST DDS
4140 THEILMAN LANE
SUITE 208
SAINT CLOUD, MN56301
 Phone: 320-252-4126
 Fax: 320-202-6507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KARI L PETERSON · (Female)

NPI Number 1205995594
Status Active
Credentials DENTIST DDS
Entity Individual
Enumeration date 12/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D12255
  • MN Other 8397078 STATE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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