Organization
SHON J PETERSON, DMD, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHON PETERSON DMD (OWNER/ORTHODONTIST)
(303) 452-4656
Entity
Organization
Contact information
Practice address
11265 DECATUR ST STE 400, WESTMINSTER, CO 80234-4793
(303) 452-4656
(303) 254-6994
Mailing address
11265 DECATUR ST STE 400, WESTMINSTER, CO 80234-4793
(303) 452-4656
(303) 254-6994
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8741
CO
Other
Enumeration date
02/09/2012
Last updated
04/15/2014
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