Individual
DR. MICHAEL DEE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10219 PARKGLENN WAY, STE 200, PARKER, CO 80138
(303) 840-2920
(303) 805-2905
Mailing address
10219 PARKGLENN WAY, STE 200, PARKER, CO 80138
(303) 840-2920
(303) 805-2905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6756
CO
Other
Enumeration date
07/29/2005
Last updated
06/13/2024
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