Alan Clark Peterson, D.M.D. Valid NPI
Individual provider · Public Health Dentistry · Atlanta, GA
- NPI
- 1174975429
- Type
- Individual (Type 1)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- 015796 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2016-07-11
- Last updated
- 2016-07-11
Practice location
601 Mcdonough Blvd Se
Atlanta, GA 30315-4400
(404) 635-5462