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Individual

DR. ROBERT TODD PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
282 SPRING CREEK PKWY STE 202, SPRING CREEK, NV 89815-5822
(405) 882-9174
Mailing address
356 ROYAL OAK CIR, SPRING CREEK, NV 89815-7127
(405) 882-9174

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9429631-9921
UT

Other

Enumeration date
06/18/2015
Last updated
07/09/2015
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