Individual provider · Type 1 NPI

Peta Kathee Douglas, DMD

General Practice Dentistry · Glen Burnie, MD

NPI number 1295268191 Active

About NPI 1295268191

Peta Kathee Douglas, DMD's National Provider Identifier is 1295268191, issued on Apr 6, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glen Burnie, MD. The record was last updated on Apr 25, 2022.