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Organization
TYR R. PETERSON, D.D.S., P.C.
Active
Organization
TYR R. PETERSON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYR R. PETERSON D.D.S. (PRESIDENT)
(303) 424-6483
Entity
Organization
Contact information
Practice address
5400 WARD ROAD, BUILDING II, SUITE 100, ARVADA, CO 80002-1819
(303) 424-6483
Mailing address
5400 WARD ROAD, BUILDING II, SUITE 100, ARVADA, CO 80002-1819
(303) 424-6483
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7993
CO
Other
Enumeration date
10/15/2007
Last updated
08/19/2013
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