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Individual
DR. NOAH J PETERS
Active
Individual
DR. NOAH J PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2249
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113305
—
MT
01
—
41244
BCBS
MT
01
—
5512754
CHIP
MT
Enumeration date
07/02/2007
Last updated
01/13/2011
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