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1063748614
BRIAN JAY PETERS
AUSTIN, TX
NPI
1063748614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 22023)
Enumeration Date
2009-11-02
Last Update Date
2009-11-02
Business Address
Dr. BRIAN JAY PETERS D.M.D.
12501 HYMEADOW DR STE 1A
AUSTIN, TX 78750-1831
Phone number: 512-682-5437
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Mailing Address
Dr. BRIAN JAY PETERS D.M.D.
36 MILL ST
MAXWELL, TX 78656-4363
Phone number: 646-660-0059
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