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Individual

DR. JOHN BENNER PETERMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5 APACHE CIR, CONESTOGA, PA 17516-9507
(717) 669-8340
Mailing address
5 APACHE CIR, CONESTOGA, PA 17516-9507

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9047351-9921
UT

Other

Enumeration date
06/29/2014
Last updated
06/29/2014
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