Individual
DR. TYR R. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5400 WARD RD, BUILDING II, SUITE 100, ARVADA, CO 80002-1819
(303) 424-6483
Mailing address
5400 WARD RD, BUILDING II, SUITE 100, ARVADA, CO 80002-1819
(303) 424-6483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7993
CO
Other
Enumeration date
02/12/2006
Last updated
08/19/2013
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