DR. Justin Scott Peterson, DDS

NPI #1205538071 in Hill Afb, Utah

Provider Information

NPI Number: 1205538071
Entity Type: Individual
Name: DR. Justin Scott Peterson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 17, 2023
Last Updated: Aug 22, 2024

Practice Location

Address: 7321 BALMER ST BLDG 570
City: Hill Afb
State: Utah
ZIP Code: 84056-5012
Phone: (801) 777-7011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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