R. Kelly Petersen, D.D.S.

NPI #1285852426 in Parker, Colorado

Provider Information

NPI Number
1285852426
Entity Type
Individual
Name
R. Kelly Petersen, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
17021 LINCOLN AVE UNIT B
City
Parker
ZIP Code
80134-3146
Phone
(720) 851-7069

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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