| NPI | 1578642559 |
|---|---|
| Professional Name | GEORGIA MARIE PETERSON HOULE PA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: AZ D001725) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D011725) |
| 1223G0001X Dentist, General Practice (Licence: AZ D011725) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-05-22 |