Individual provider · Type 1 NPI

Derek Gene Petersen, DDS

General Practice Dentistry · Broomfield, CO

NPI number 1487887451 Active

About NPI 1487887451

Derek Gene Petersen, DDS's National Provider Identifier is 1487887451, issued on Aug 25, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broomfield, CO. The record was last updated on Feb 5, 2014.