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1174975429
ALAN CLARK PETERSON
ATLANTA, GA
NPI
1174975429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: MO 015796)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
Dr. ALAN CLARK PETERSON D.M.D.
601 MCDONOUGH BLVD SE
ATLANTA, GA 30315-4400
Phone number: 404-635-5462
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Mailing Address
Dr. ALAN CLARK PETERSON D.M.D.
601 MCDONOUGH BLVD SE
ATLANTA, GA 30315-4400
Phone number: 404-635-5462
Copy
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