Pcdc Atlanta LLC

NPI #1154723062 in Atlanta, Georgia

Provider Information

NPI Number: 1154723062
Entity Type: Organization
Organization Name: Pcdc Atlanta LLC
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2014
Last Updated: Nov 22, 2016

Practice Location

Address: 3098 PIEDMONT RD NE
Address 2: SUITE 100
City: Atlanta
State: Georgia
ZIP Code: 30305-2637
Phone: (404) 351-9307

Authorized Official

Name: DR. G. JOSEPH PELUSO III, DMD
Title: SOLE MANAGING MEMBER
Phone: (404) 405-7756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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