# ARIC PETERSEN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Petersen Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215619945
- **Authorized official:** DR. ARIC PETERSEN DDS (OWNER)
- **Authorized official phone:** (314) 780-7802

## Contact information

- **Practice address:** 10752 N 89TH PL STE 117, SCOTTSDALE, AZ 85260-6743
- **Practice address phone:** (314) 780-7802
- **Practice address fax:** (480) 767-8818
- **Mailing address:** 10752 N 89TH PL STE 117, SCOTTSDALE, AZ 85260-6743
- **Mailing address phone:** (314) 780-7802
- **Mailing address fax:** (480) 767-8818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2023
- **Last updated:** 08/02/2023