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Individual

DR. MICHAEL CONRAD PEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1997 HAMILTON BLVD., SOUTH BOSTON, VA 24592
(434) 575-5677
(434) 572-8313
Mailing address
1997 HAMILTON BLVD., P.O. BOX 752, SOUTH BOSTON, VA 24592
(434) 575-5677
(434) 572-8313

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007133
VA

Other

Enumeration date
06/07/2006
Last updated
07/08/2007
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