NICHOLAS DEE PETERSEN

PROVO, UT
NPI1912790965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  14223904-9926)
Enumeration Date2025-05-23
Last Update Date2025-05-23
Business Address
NICHOLAS DEE PETERSEN DDS
1234 N 900 E STE 100
PROVO, UT 84604-2726
Phone number: 801-854-9140
Mailing Address
NICHOLAS DEE PETERSEN DDS
1573 W MORNING VIEW WAY
LEHI, UT 84043-7733
Phone number: 503-475-5812
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