Tyr R. Peterson, D.d.s., P.c. | |
5400 Ward Road Building Ii, Suite 100 Arvada CO 80002-1819 | |
(303) 424-6483 | |
Not Available |
Full Name | Tyr R. Peterson, D.d.s., P.c. |
---|---|
Speciality | Clinic/center - Dental |
Location | 5400 Ward Road, Arvada, Colorado |
Authorized Official Name and Position | Tyr R. Peterson (PRESIDENT) |
Authorized Official Contact | 3034246483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tyr R. Peterson, D.d.s., P.c. 5400 Ward Road Building Ii, Suite 100 Arvada CO 80002-1819 Ph: (303) 424-6483 | Tyr R. Peterson, D.d.s., P.c. 5400 Ward Road Building Ii, Suite 100 Arvada CO 80002-1819 Ph: (303) 424-6483 |
NPI Number | 1194914218 |
---|---|
Provider Enumeration Date | 10/15/2007 |
Last Update Date | 08/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194914218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 7993 (Colorado) | Primary |
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