DEREK GENE PETERSEN

BROOMFIELD, CO
NPI1487887451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  9978)
Enumeration Date2009-08-25
Last Update Date2014-02-05
Business Address
Dr. DEREK GENE PETERSEN D.D.S.
3303 W 144TH AVE UNIT 100
BROOMFIELD, CO 80023-9464
Phone number: 720-308-9798
Mailing Address
Dr. DEREK GENE PETERSEN D.D.S.
3303 W 144TH AVE UNIT 100
BROOMFIELD, CO 80023-9464
Phone number: 720-308-9798
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