Scott William Petersen, DMD

NPI #1295931046 in Nephi, Utah

Provider Information

NPI Number: 1295931046
Entity Type: Individual
Name: Scott William Petersen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 N 400 E
City: Nephi
State: Utah
ZIP Code: 84648-1558
Phone: (435) 623-1916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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