| NPI | 1457019515 |
|---|---|
| Doing Business As | BUCKHEAD SPECIALTY GROUP |
| Former Legal Business Name | BUCKHEAD PERIODONTICS P.C. |
| Doing Business As | BUCKHEAD PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | TREVOR BRYAN TUNE Cdo 636-233-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |