Tyr R. Peterson, D.d.s., P.c.

NPI #1194914218 in Arvada, Colorado

Provider Information

NPI Number: 1194914218
Entity Type: Organization
Organization Name: Tyr R. Peterson, D.d.s., P.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 15, 2007
Last Updated: Aug 19, 2013

Practice Location

Address: 5400 WARD ROAD
Address 2: BUILDING II, SUITE 100
City: Arvada
State: Colorado
ZIP Code: 80002-1819
Phone: (303) 424-6483

Authorized Official

Name: DR. TYR R. PETERSON, D.D.S.
Title: PRESIDENT
Phone: (303) 424-6483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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