Individual
BRYAN H. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
840 I ST STE 3, SPARKS, NV 89431-3697
(775) 358-1870
(775) 358-1183
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4754
NV
Other
Enumeration date
05/24/2007
Last updated
12/05/2013
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