Individual
DR. BRADY TODD PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
6425 S DURANGO DR STE 120, LAS VEGAS, NV 89113-7113
(702) 757-5355
Mailing address
6425 S DURANGO DR STE 120, LAS VEGAS, NV 89113-7113
(702) 757-5355
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-366
NV
Other
Enumeration date
06/13/2017
Last updated
04/30/2024
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