Individual
DR. EMILY WILEY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
138 CHURCH ST, ALEXANDRIA BAY, NY 13607-1703
(315) 482-9941
(315) 482-2783
Mailing address
138 CHURCH ST, P.O. BOX 8, ALEXANDRIA BAY, NY 13607-1703
(315) 482-9941
(315) 482-2783
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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