Individual
DR. MICHAEL SCOTT PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2817 REILLY ST STOP B, USA DENTAL ACTIVITY MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Mailing address
2817 REILLY ST STOP B, USA DENTAL ACTIVITY MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013404
GA
Other
Enumeration date
09/01/2006
Last updated
05/24/2010
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