Individual
DR. PETER N BOUGAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2381 MAIN ST E STE A, SNELLVILLE, GA 30078-3358
(770) 979-5300
(770) 978-5928
Mailing address
2381 MAIN ST E STE A, SNELLVILLE, GA 30078-3358
(770) 979-5300
(770) 978-5928
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9333
FL
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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