Individual
DR. JOHN MICHAEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12427 S 4000 W, STE 200, RIVERTON, UT 84065
(801) 254-8812
Mailing address
8472 OAK FARMS DR, WEST JORDAN, UT 84081-1860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7020843
UT
Other
Enumeration date
02/25/2009
Last updated
04/30/2010
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