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Individual
PETERSON JAMES CHAO
Active
Individual
PETERSON JAMES CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061721-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2019
Last updated
03/20/2026
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