Gerald D. Petersen, DDS, SC
Gerald D. Petersen, DDS, SC is a General Practice Dentistry in Waukesha, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
S22 W22660 East Broadway Ste 2BWaukesha, WI 53186
Phone: (262) 548-3555
Fax: (262) 965-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1558464891 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerald Petersen — Officer · (262) 548-3555 |
| NPI enumerated | September 5, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | S22 W22660 East Broadway, Ste 2b, Waukesha, WI 53186 |
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