NPI | 1952973216 |
---|---|
Doing Business As | PEACHTREE SMILES |
Entity Type | Organization |
Authorized Contact | KENNETH TRALONGO President 516-662-5716 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-07-15 |
Last Update Date | 2021-07-15 |