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PEACH STATE DENTAL IMPLANTS AND PERIODONTICS 1740956572

Overview
Name: PEACH STATE DENTAL IMPLANTS AND PERIODONTICS Specialty: Periodontist Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Dental Providers Classification: Dentist Specialization: Periodontics. Definition of Specialty: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: PEACH STATE DENTAL IMPLANTS AND PERIODONTICS,4300 WESTBROOK RD # F,SUWANEE,GA,300244987,US Mailing Address: PEACH STATE DENTAL IMPLANTS AND PERIODONTICS,4300 WESTBROOK RD # F,SUWANEE,GA,300244987,US
Contact #
Practice location phone #: 7703107822 Practice location fax #: Mailing address Phone #: 7703107822 Mailing Address fax #: Authorized official Name/Telephone #:MRS., MALISSA, NICOLE, GIANFALA, HR/OPERATIONS MANAGER 7705008446
Misc
Date NPI was obtained: 08/20/2021 Last data data was updated: 08/20/2021 Insurances:
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