Individual
DR. BENJAMIN LEE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 E 22ND ST, FREMONT, NE 68025-2657
(402) 721-0488
Mailing address
710 E 22ND ST, FREMONT, NE 68025-2657
(402) 721-0488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7156
NE
Other
Enumeration date
06/06/2014
Last updated
12/06/2016
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