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Individual
GREGORY JAN ATWOOD
Active
Individual
GREGORY JAN ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22208
TX
Other
Enumeration date
12/14/2006
Last updated
12/03/2012
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