Individual
DR. CARL FREDERICK PETERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 MCFARLAND AVE, ROSSVILLE, GA 30741-2312
(706) 861-1828
(706) 861-1936
Mailing address
1200 MCFARLAND AVE, ROSSVILLE, GA 30741-2312
(706) 861-1828
(706) 861-1936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 8378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000061685A
—
GA
Enumeration date
12/15/2006
Last updated
07/08/2007
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