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Search › Utah › 172V00000X

Michael Petersen

NPI 1386352219 · on the registry since 2022 · sole proprietor

Practice

Address
3280 W 3500 S Ste B
West Valley, UT 84119
Phone
(801) 979-1351
Organisation at this address
Elite Dental
Dental Transformations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-09

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