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Byron Petersen, D.D.S
NPI 1477566198 · on the registry since 2006 · sole proprietor
Practice
- Address
- George E Wahlen Dept Of Veterans Affairs Medical Ctr
500 Foothill Drive, Dental Service (160)
Salt Lake City, UT 84148 - Phone
- (801) 584-1206
- Fax
- (801) 584-1251
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah