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1336450816
LUKE R. PETERSEN
WEST JORDAN, UT
NPI
1336450816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 7702761-99021)
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
Dr. LUKE R. PETERSEN D.D.S.
3078 W 7800 S
WEST JORDAN, UT 84088-3707
Phone number: 801-280-1911
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Mailing Address
Dr. LUKE R. PETERSEN D.D.S.
1694 DEVONSHIRE DR
SALT LAKE CITY, UT 84108-2559
Phone number: 801-560-6284
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