Individual
DR. RILEY MICHAEL RICHARD PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1818 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3253
(970) 239-1514
Mailing address
1818 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3253
(970) 239-1514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00206726
CO
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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