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Individual
DR. PETER SPILOTRO
Active
Individual
DR. PETER SPILOTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996431
UNITED CONCORDIA PRO #
AZ
01
—
AZ0414080
BCBS PRO ID NUMBER
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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