Individual
DR. PETER JAMES ROUKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
228 VILLAGE DR, PAGOSA SPRINGS, CO 81147-8308
(970) 731-2126
Mailing address
115 HAREBELL DR, PAGOSA SPRINGS, CO 81147-7721
(216) 374-5693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD3069
NM
1223G0001X
General Practice Dentistry
Primary
10054
CO
Other
Enumeration date
04/14/2008
Last updated
02/04/2022
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