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Peach Blossom Dental, Llc
Dental Clinic/Center in Tucker, Georgia
NPI 1174051908

Peach Blossom Dental, Llc is a Dental Clinic/Center based in Tucker, GA and is specialized in Dental. Peach Blossom Dental, Llc practices in Tucker, GA. The NPI Number for Peach Blossom Dental, Llc is 1174051908 and holds a License No. (Georgia).

The current practice location address for Peach Blossom Dental, Llc is 2256 Northlake Pkwy Ste 150, Tucker, GA and can be reached out via phone at 770-934-5144 and via fax at 678-273-3634.

Location: 2256 Northlake Pkwy Ste 150, Tucker, GA, 30084-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174051908
Provider Name
Peach Blossom Dental, Llc
Credential
Provider Entity Type
Organization
Address
2256 Northlake Pkwy Ste 150, Tucker, GA, 30084-4004
Phone Number
770-934-5144
Fax Number
678-273-3634
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2256 Northlake Pkwy Ste 150
City
Tucker
State
Georgia
Zip
30084-4004
Phone Number
770-934-5144
Fax Number
678-273-3634
person
Provider Business Mailing Address Details
Address
2256 Northlake Pkwy Ste 150
City
Tucker
State
Georgia
Zip
30084-4004
Phone Number
770-934-5144
Fax Number
678-273-3634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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