Individual
DR. BRIAN JAY PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12501 HYMEADOW DR STE 1A, AUSTIN, TX 78750-1831
(512) 682-5437
Mailing address
36 MILL ST, MAXWELL, TX 78656-4363
(646) 660-0059
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22023
TX
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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