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Carl Peiser, D.D.S.

Dentist in Pinetop, AZ. Organization (NPI-2).

NPI number1013109727
StatusActive
Last updated in NPPESAug 16, 2007

Details

NPI
1013109727
Entity type
Organization (NPI-2)
Legal business name
Carl Peiser, D.D.S.
Organization subpart
No
Enumeration date
Aug 16, 2007
Last updated
Aug 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist1724AZYes

Practice location

1525 South Creel Ave
Pinetop, AZ 85935

Phone 928-367-1682 · Fax 928-367-2702

Mailing address

Po Box 312
Pinetop, AZ 85935-0312

Phone 928-367-1682 · Fax 928-367-2702

Authorized official

Carl J Peiser
Owner
9283671682

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