CCSD-PC, LLC

PEACHTREE CORNERS, GA
NPI1619820214
Entity TypeOrganization
Authorized ContactDONNA TIDWELL
Insurance Manager
770-995-1957
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2026-02-16
Last Update Date2026-02-16
Business Address
CCSD-PC, LLC
5075 PEACHTREE PKWY STE 105B
PEACHTREE CORNERS, GA 30092-6506
Phone number: 678-288-4888
Mailing Address
CCSD-PC, LLC
5075 PEACHTREE PKWY STE 105B
PEACHTREE CORNERS, GA 30092-6506
Phone number: 678-288-4888
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