Organization
LEHI PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANS CHRISTIAN PETERSEN D.M.D. (DR.)
(801) 766-5557
Entity
Organization
Contact information
Practice address
216 E MAIN ST, SUITE #3, LEHI, UT 84043-2231
(801) 768-0541
(801) 768-0541
Mailing address
216 E MAIN ST., SUITE #3, LEHI, UT 84043-2231
(801) 768-0541
(801) 768-0541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5323980-9922
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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