Individual
HANS C PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3535 S MARKET ST STE 145, WEST VALLEY CITY, UT 84119-3637
(801) 969-8881
Mailing address
PO BOX 18430, SALT LAKE CITY, UT 84118-0430
(801) 969-8881
(801) 768-0541
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5323980
UT
Other
Enumeration date
12/28/2006
Last updated
05/08/2024
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