Individual
DR. REX J. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5640 WASATCH DR STE C, OGDEN, UT 84403-4993
(801) 479-9443
Mailing address
5640 WASATCH DR STE C, OGDEN, UT 84403-4993
(801) 479-9443
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
140013-9921
UT
Other
Enumeration date
02/06/2007
Last updated
03/22/2017
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