| NPI | 1114988169 |
|---|---|
| Other Name | AJ PERETZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC DEN5945) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 12144) |
| 122300000X Dentist (Licence: PA DS030332L) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |