DR. Tyson Don Petersen, D.D.S.
NPI #1457806457 in Logan, Utah
Provider Information
- NPI Number
- 1457806457
- Entity Type
- Individual
- Name
- DR. Tyson Don Petersen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 18, 2016
- Last Updated
- Jul 21, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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