Individual
ADEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1015 S TAFT HILL RD STE K, FORT COLLINS, CO 80521-4240
(970) 980-2145
Mailing address
927 EMERY ST, LONGMONT, CO 80501-4508
(802) 922-6547
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00205199
CO
Other
Enumeration date
05/31/2019
Last updated
06/24/2024
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