NPI | 1275672578 |
---|---|
Other Name | L. F. PEEDE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO HD100972) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6645) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2011-12-12 |