DR. Douglas A Petersen, D.M.D.

NPI #1003942335 in Nephi, Utah

Provider Information

NPI Number: 1003942335
Entity Type: Individual
Name: DR. Douglas A Petersen, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Feb 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 N 400 E
City: Nephi
State: Utah
ZIP Code: 84648-1558
Phone: (435) 623-1918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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