NPI | 1124130554 |
---|---|
Former Legal Business Name | JAMES L. PETERS, DDS, FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES LANCE PETERS President 517-676-3770 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 17763) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |