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Individual
DR. PETER GENE LIM
Active
Individual
DR. PETER GENE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN013052
GA
1223G0001X
General Practice Dentistry
Primary
8116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040-141-04-24
VA DENTAL LICENSE
VA
01
—
4070
SC DENTAL LICENSE
SC
01
—
8116
NC DENTAL LICENSE
NC
01
—
DN013052
GA DENTAL LICENSE
GA
Enumeration date
09/27/2006
Last updated
03/07/2023
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