DR. Luke R. Petersen, D.D.S.
NPI #1336450816 in West Jordan, Utah
Provider Information
- NPI Number
- 1336450816
- Entity Type
- Individual
- Name
- DR. Luke R. Petersen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jun 29, 2010
- Last Updated
- Jun 29, 2010
Practice Location
- Address
- 3078 W 7800 S
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-3707
- Phone
- (801) 280-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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