Organization
TYR R. PETERSON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYR R. PETERSON D.D.S. (PRESIDENT)
(303) 424-6483
Entity
Organization
Contact information
Practice address
5400 WARD ROAD, BUILDING II, SUITE 100, ARVADA, CO 80002-1819
(303) 424-6483
Mailing address
5400 WARD ROAD, BUILDING II, SUITE 100, ARVADA, CO 80002-1819
(303) 424-6483
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7993
CO
Other
Enumeration date
10/15/2007
Last updated
08/19/2013
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