| 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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