DR. Chad William Petersen, DDS

NPI #1336582212 in Cheyenne, Wyoming

Provider Information

NPI Number
1336582212
Entity Type
Individual
Name
DR. Chad William Petersen, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Apr 10, 2013
Last Updated
Dec 12, 2020

Practice Location

Address
6238 YELLOWSTONE RD
State
Wyoming
ZIP Code
82009-3432
Phone
(307) 635-6940

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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