Individual
PETER D. BOULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1875 OLD ALABAMA RD, SUITE 130, ROSWELL, GA 30076-2201
(770) 998-3838
(770) 998-3865
Mailing address
1875 OLD ALABAMA RD, SUITE 130, ROSWELL, GA 30076-2201
(770) 998-3838
(770) 998-3865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012542
GA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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