Organization
EXINDENT
Active
Other names
Peter Emmons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ADAMS EMMONS DDS (DENTIST)
(832) 726-6655
Entity
Organization
Contact information
Practice address
130 CARLANNA LAKE RD, KETCHIKAN, AK 99901-5669
(832) 726-6655
Mailing address
1342 N 650 E, TOOELE, UT 84074-9848
(832) 726-6655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105109
AK
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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