Organization
DR. PETER G. LIM, D.D.S., P.L.L.C.
Active
Other names
Comprehensive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GENE LIM D.D.S. (GENERAL DENTIST)
(919) 954-2273
Entity
Organization
Contact information
Practice address
4050 WAKE FOREST RD, RALEIGH, NC 29609-6860
(919) 954-2273
(919) 521-5499
Mailing address
4050 WAKE FOREST RD, P.O. BOX 18008, RALEIGH, NC 27619-8008
(919) 954-2273
(919) 521-5499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC-8116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639260821
INDIVIDUAL NPI NUMBER
—
05
—
5907764
—
NC
Enumeration date
11/19/2009
Last updated
11/19/2009
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