Individual
CHAD A PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8 CAPE COD, IRVINE, CA 92620-2711
(949) 679-4919
(949) 679-4919
Mailing address
8 CAPE COD, IRVINE, CA 92620-2711
(949) 679-4919
(949) 679-4919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57693
CA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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