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Individual
PETER DENNIS
Active
Individual
PETER DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2019-00625
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9916
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD198730
OR
Other
Enumeration date
04/03/2013
Last updated
06/15/2020
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