Organization · Type 2 NPI
Peach Blossom Dental, LLC
Dental Clinic/Center · Tucker, GA
NPI number
1174051908
Active
Practice location
2256 Northlake Pkwy Ste 150
Tucker, GA 30084-4004
Fax (678) 273-3634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1174051908
Peach Blossom Dental, LLC's National Provider Identifier is 1174051908, issued on May 24, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tucker, GA. The record was last updated on Jul 21, 2022.