TYSON DON PETERSEN, D.D.S

NPI: 1457806457 · Individual · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

1260 N 200 E
LOGAN, UT 84341-7560 Map ↗
Phone: 435-752-8000

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 10387670-9923, UT)
  • General Practice Dentistry — General Practice (license: 4774, ID)

NPI Registration

Enumerated: 2016-08-18

Last CMS Update: 2022-07-21