| NPI | 1811303241 |
|---|---|
| Doing Business As | PEACHTREE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEONG KIM Owner 503-473-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d9495) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |