| Peach Smiles | |
|
4825 Sugarloaf Pkwy Ste A Lawrenceville GA 30044-8800 | |
| (770) 609-6620 | |
| Not Available |
| Full Name | Peach Smiles |
|---|---|
| Speciality | Dentist |
| Location | 4825 Sugarloaf Pkwy Ste A, Lawrenceville, Georgia |
| Authorized Official Name and Position | Praveen R Gudipati (DENTIST OWNER) |
| Authorized Official Contact | 4049667766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Smiles 4825 Sugarloaf Pkwy Ste A Lawrenceville GA 30044-8800 Ph: (770) 609-6620 | Peach Smiles 4825 Sugarloaf Pkwy Ste A Lawrenceville GA 30044-8800 Ph: (770) 609-6620 |
| NPI Number | 1639856552 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639856552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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