| Aesthetic Restorative Dentistry, P. C. | |
|
5000 Shakerag Hl Peachtree City GA 30269-3367 | |
| (770) 631-0044 | |
| (770) 631-9434 |
| Full Name | Aesthetic Restorative Dentistry, P. C. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5000 Shakerag Hl, Peachtree City, Georgia |
| Authorized Official Name and Position | W Taylor Dominy (OWNER) |
| Authorized Official Contact | 7706310044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Restorative Dentistry, P. C. 5000 Shakerag Hl Peachtree City GA 30269-3367 Ph: (770) 631-0044 | Aesthetic Restorative Dentistry, P. C. 5000 Shakerag Hl Peachtree City GA 30269-3367 Ph: (770) 631-0044 |
| NPI Number | 1437694791 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437694791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN010888 (Georgia) | Primary |
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