Individual
SUSAN DELAINE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4215 85TH ST, LUBBOCK, TX 79423-1931
(806) 794-1131
(806) 794-1103
Mailing address
6110 36TH ST, UNIT 16, LUBBOCK, TX 79407-3649
(806) 544-4757
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12681
TX
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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