Petersen, Steven Blaine
Petersen, Steven Blaine is an individual health care provider with primary practice located at 9202 202Nd St W Suite 201, Lakeville MN 55044-7915. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Petersen, Steven Blaine can be contacted via phone (952) 469-2818.Contact Information
Primary practice address
9202 202Nd St W Suite 201
Lakeville MN 55044-7915
Phone: (952) 469-2818
Fax: (952) 469-2566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10525 | Minnesota |
Profile Details
| NPI number | 1184840365 |
|---|---|
| LBN Legal business name | Petersen, Steven Blaine |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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