CHAD WILLIAM PETERSEN

CHEYENNE, WY
NPI1336582212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WY  1436)
Enumeration Date2013-04-10
Last Update Date2020-12-12
Business Address
Dr. CHAD WILLIAM PETERSEN DDS
6238 YELLOWSTONE RD
CHEYENNE, WY 82009-3432
Phone number: 307-635-6940
Mailing Address
Dr. CHAD WILLIAM PETERSEN DDS
6238 YELLOWSTONE RD
CHEYENNE, WY 82009-3432
Phone number: 307-635-6940
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