| 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 |