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Individual
VAN PELT ROCKEFELLER
Active
Individual
VAN PELT ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015157
GA
225100000X
Physical Therapist
PT9110
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/09/2007
Last updated
08/09/2016
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