| NPI | 1740956572 |
|---|---|
| Doing Business As | PEACH STATE LASER PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | MALISSA NICOLE GIANFALA Hr/Operations Manager 770-500-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |