Individual
DR. TODD CHARLES PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8000 WILLIAM G PENNY LN, LOUISVILLE, KY 40219-3739
(502) 969-2396
(502) 969-6901
Mailing address
2620 BALLANTRAE CIR, LOUISVILLE, KY 40242-4067
(502) 426-6786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7168
KY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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