DR. Derek Gene Petersen, D.D.S.
NPI #1487887451 in Broomfield, Colorado
Provider Information
- NPI Number
- 1487887451
- Entity Type
- Individual
- Name
- DR. Derek Gene Petersen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 25, 2009
- Last Updated
- Feb 5, 2014
Practice Location
- Address
- 3303 W 144TH AVE UNIT 100
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-9464
- Phone
- (720) 308-9798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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