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Individual

DR. EMILY WILEY PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054697
NY
1223D0001X
Public Health Dentistry
054697
NY

Other

Enumeration date
10/19/2009
Last updated
03/23/2012
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