Individual
RICHARD C PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
199 HWY 50, PECOS, NM 87552-0710
(505) 757-6666
(505) 757-2700
Mailing address
PO BOX 710, 199HWY 50, PECOS, NM 87552-0710
(505) 757-6666
(505) 757-2700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1335
NM
Other
Enumeration date
08/30/2006
Last updated
01/24/2014
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