BYRON THAD PETERSEN

SALT LAKE CITY, UT
NPI1477566198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  135438-9923)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
Dr. BYRON THAD PETERSEN d.d.s.
GEORGE E WAHLEN DEPT OF VETERANS AFFAIRS MEDICAL CTR 500 FOOTHILL DRIVE, DENTAL SERVICE (160)
SALT LAKE CITY, UT 84148-0001
Phone number: 801-584-1206
Mailing Address
Dr. BYRON THAD PETERSEN d.d.s.
2162 E. CREEK ROAD
SANDY, UT 84093-6448
Phone number: 801-942-2631
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