Lim, Peter

Lim, Peter is an individual health care provider with primary practice located at 1845 Holsonback Dr , Daytona Beach FL 32117-5114. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lim, Peter can be contacted via phone (386) 274-0790.

Contact Information

Primary practice address
1845 Holsonback Dr Daytona Beach FL 32117-5114
Phone: (386) 274-0790
Fax: (386) 274-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN11833 Florida

Profile Details

NPI number 1821022526
LBN Legal business name Lim, Peter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821022526 NPPES
Florida MEDICAID 075608300

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