Individual
PETER CLIFFORD SHATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3737 UPLAND DR, MARIETTA, GA 30066-3060
(678) 773-1699
Mailing address
3737 UPLAND DR, MARIETTA, GA 30066-3060
(678) 773-1699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DGD10916GD
SC
1223P0300X
Periodontics
DGD10917DS
SC
1223P0300X
Periodontics
Primary
DN011384
GA
Other
Enumeration date
10/03/2006
Last updated
09/24/2024
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