Granger Pediatric Dentistry
NPI #1154637825 in West Valley City, Utah
Provider Information
- NPI Number
- 1154637825
- Entity Type
- Organization
- Organization Name
- Granger Pediatric Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 19, 2010
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- GRANGER PEDIATRIC DENTISTRY
- Address 2
- 3535 S MARKET STREET SUITE #145
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84119-3637
- Phone
- (801) 969-8881
Authorized Official
- Name
- DR. HANS C PETERSEN, DMD
- Title
- OWNER/DENTIST
- Phone
- (801) 969-8881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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