Kimberly A Peters Dmd Pc | |
1000 Iris Dr Sw Ste A Conyers GA 30094-6622 | |
(770) 922-1666 | |
Not Available |
Full Name | Kimberly A Peters Dmd Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1000 Iris Dr Sw Ste A, Conyers, Georgia |
Authorized Official Name and Position | Kimberly Peters (PRESIDENT) |
Authorized Official Contact | 7062943004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kimberly A Peters Dmd Pc 1000 Iris Dr Sw Ste A Conyers GA 30094-6622 Ph: (770) 922-1666 | Kimberly A Peters Dmd Pc 1000 Iris Dr Sw Ste A Conyers GA 30094-6622 Ph: (770) 922-1666 |
NPI Number | 1053161372 |
---|---|
Provider Enumeration Date | 03/27/2024 |
Last Update Date | 03/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053161372 | NPI | - | NPPES |
DN014630 | Other | GA | DENTAL LICENSE |
1194166306 | Other | GA | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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