Organization · Type 2 NPI
The Pacific Coast Group
Dental Clinic/Center · Decatur, GA
NPI number
1376929984
Active
Practice location
2883 North Decatur Rd., Suite F
Decatur, GA 30033
Fax (404) 299-5466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN014228 (GA) |
Dental Clinic/Center: Definition to come...
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About NPI 1376929984
The Pacific Coast Group's National Provider Identifier is 1376929984, issued on Aug 5, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Decatur, GA. The record was last updated on Aug 5, 2015.