Individual
DR. PETER S TRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2480 WINDY HILL RD SE, STE 405, MARIETTA, GA 30067-8658
(770) 952-0136
(770) 952-0137
Mailing address
2480 WINDY HILL RD SE, STE 405, MARIETTA, GA 30067-8658
(770) 952-0136
(770) 952-0137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051785B
—
GA
Enumeration date
05/24/2005
Last updated
03/30/2009
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