| NPI | 1376544429 |
|---|---|
| Other Name | PETER MERTZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 108150) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO 108150) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-02-09 |