Individual
CHRISTIAN D PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-6899
Mailing address
1650 COCHRANE CIR BLDG 7500, FORT CARSON, CO 80913-4613
(719) 526-6899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7312
NE
Other
Enumeration date
07/29/2016
Last updated
04/21/2026
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