| NPI | 1487030847 |
|---|---|
| Doing Business As | PEACHTREE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JELANA BRYAN Owner 770-268-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2022-05-11 |