| NPI | 1346130523 |
|---|---|
| Former Legal Business Name | PEACH STATE SMILES |
| Entity Type | Organization |
| Authorized Contact | SCOT ARMSTRONG CEO 770-307-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |