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1255497079
HANS C PETERSEN
WEST VALLEY CITY, UT
NPI
1255497079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 5323980)
Enumeration Date
2006-12-28
Last Update Date
2024-05-08
Business Address
HANS C PETERSEN dmd
3535 S MARKET ST STE 145
WEST VALLEY CITY, UT 84119-3637
Phone number: 801-969-8881
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Mailing Address
HANS C PETERSEN dmd
PO BOX 18430
SALT LAKE CITY, UT 84118-0430
Phone number: 801-969-8881
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