Dr. Peter N Bougas Jr.
Dentist, Orthodontics and Dentofacial Orthopedics in Snellville, GA. Individual provider (NPI-1).
NPI number1881829752
StatusActive
Last updated in NPPESMay 21, 2009
Details
- NPI
- 1881829752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter N Bougas Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2009
- Last updated
- May 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 9333 | FL | Yes |
Practice location
2381 Main St E Ste ASnellville, GA 30078-3358
Phone 770-979-5300 · Fax 770-978-5928
Mailing address
2381 Main St E Ste ASnellville, GA 30078-3358
Phone 770-979-5300 · Fax 770-978-5928
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