DR. TYSON PETERESN

LOGAN, UT
NPI1972121770
Entity TypeOrganization
Authorized ContactTYSON PETERSEN
Dr
435-752-0300
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
DR. TYSON PETERESN
110 E 200 N
LOGAN, UT 84321-4007
Phone number: 435-752-0300
Mailing Address
DR. TYSON PETERESN
110 E 200 N
LOGAN, UT 84321-4007
Phone number: 435-752-0300
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