Individual
PETER WERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1405 S DOUGLAS BLVD STE C, MIDWEST CITY, OK 73130-5240
(405) 732-1181
Mailing address
1405 S DOUGLAS BLVD STE C, MIDWEST CITY, OK 73130-5240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5689
OK
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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