Individual
BARRETT W R PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
240 HYDRAULIC RIDGE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-8130
(434) 973-4344
Mailing address
240 HYDRAULIC RIDGE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-8130
(434) 973-4344
(434) 973-4675
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413204
VA
Other
Enumeration date
08/08/2011
Last updated
10/14/2013
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