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1871521492
DIANE PETERSEN STEPHENS
STONE MOUNTAIN, GA
NPI
1871521492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN009837)
Enumeration Date
2006-06-30
Last Update Date
2007-07-09
Business Address
Dr. DIANE PETERSEN STEPHENS D.M.D.
5370 US HIGHWAY 78 SUITE 720
STONE MOUNTAIN, GA 30087-3574
Phone number: 770-465-3400
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Mailing Address
Dr. DIANE PETERSEN STEPHENS D.M.D.
PO BOX 871128
STONE MOUNTAIN, GA 30087-0029
Phone number: 770-465-3400
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