Individual
KIMBERLY ANNE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1253 COMMERCIAL DR SW, CONYERS, GA 30094-5987
(706) 294-3004
Mailing address
1100 HOWELL MILL RD NW, UNIT 403, ATLANTA, GA 30318-8640
(706) 294-3004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014630
GA
Other
Enumeration date
07/16/2013
Last updated
10/27/2015
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