DR. TYSON PETERESN is a dental clinic center in Logan, UT. DR. TYSON PETERESN NPI is 1972121770. The provider is registered as an organization entity type.
The provider's business location address is:
110 E 200 N
LOGAN, UT
ZIP 84321-007
Phone: (435) 752-0300
Fax: (435) 755-7625
The provider's authorized official is Tyson Petersen .
The authorized official title is Dr and has the following contact phone number (435) 752-0300.
The enumeration date for this NPI number is 7/8/2020 and was last updated on 7/8/2020.