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Organization
M H PETERS JR DDS INC
Active
Organization
M H PETERS JR DDS INC
Active
Other names
Peters Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MANFED HENRY PETERS JR. D.D.S. (OWNER)
(281) 486-8061
Entity
Organization
Contact information
Practice address
2508 BAY AREA BLVD. SUITE 100, HOUSTON, TX 77058
(281) 486-8061
Mailing address
2508 BAY AREA BLVD. SUITE 100, HOUSTON, TX 77058
(281) 486-8061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89D682
BCBS OF TEXAS
TX
01
—
B10881-01
TEXAS CHIPS PROGRAM
TX
Enumeration date
03/19/2007
Last updated
08/22/2020
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