Individual
DR. PETER RAYMOND SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
96 OLD BARNSTABLE RD, MASHPEE, MA 02649-3232
(508) 477-0724
(508) 477-4827
Mailing address
96 OLD BARNSTABLE RD, P.O. BOX 545, MASHPEE, MA 02649-3232
(508) 477-0724
(508) 477-4827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12410
MA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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