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Individual
DR. PETER T GAKUNGA
Active
Individual
DR. PETER T GAKUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS PHD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
F21875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1691067
UNITED CONCORDIA
—
01
—
880996
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/16/2006
Last updated
07/08/2007
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