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Individual
DR. PETER M MARAGOS
Active
Individual
DR. PETER M MARAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20579
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20579
LICENSE NUMBER
OH
Enumeration date
07/16/2006
Last updated
08/12/2008
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