| Peachtree Smiles Ii Pc | |
|
1720 Peachtree St Nw Ste 632 Atlanta GA 30309-2450 | |
| (404) 410-1039 | |
| Not Available |
| Full Name | Peachtree Smiles Ii Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1720 Peachtree St Nw Ste 632, Atlanta, Georgia |
| Authorized Official Name and Position | Kenneth Tralongo (PRESIDENT) |
| Authorized Official Contact | 5166625716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Smiles Ii Pc 1720 Peachtree St Nw Ste 632 Atlanta GA 30309-2450 Ph: (404) 410-1039 | Peachtree Smiles Ii Pc 1720 Peachtree St Nw Ste 632 Atlanta GA 30309-2450 Ph: (404) 410-1039 |
| NPI Number | 1952973216 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952973216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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