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Individual

PETER I SON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
350 N COX ST STE 18, ASHEBORO, NC 27203-5514
(336) 625-4216
(336) 629-9317
Mailing address
75403 ROWAN, CHAPEL HILL, NC 27517-8577
(919) 636-5145

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8359
NC

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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