| Peach Dental Care | |
|
3596 W Hill St # B Clarkston GA 30021-1205 | |
| (770) 256-7555 | |
| Not Available |
| Full Name | Peach Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 3596 W Hill St # B, Clarkston, Georgia |
| Authorized Official Name and Position | Thu Vu (DDS) |
| Authorized Official Contact | 7702567555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Dental Care 3596 W Hill St # B Clarkston GA 30021-1205 Ph: (770) 256-7555 | Peach Dental Care 3596 W Hill St # B Clarkston GA 30021-1205 Ph: (770) 256-7555 |
| NPI Number | 1942331772 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942331772 | NPI | - | NPPES |
| 518280914A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012520 (Georgia) | Primary |
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