PETERSEN DENTAL LLC

SOUTH JORDAN, UT
NPI1417315656
Entity TypeOrganization
Authorized ContactLUKE PETERSEN
Owner
801-302-8989
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  7702761-99021)
Enumeration Date2016-02-02
Last Update Date2016-02-02
Business Address
PETERSEN DENTAL LLC
10458 S REDWOOD RD
SOUTH JORDAN, UT 84095-8501
Phone number: 801-302-8989
Mailing Address
PETERSEN DENTAL LLC
10458 S REDWOOD RD
SOUTH JORDAN, UT 84095-8501
Phone number: 801-302-8989
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