Peach Blossom Dental, LLC

NPI #1174051908 in Tucker, Georgia

Provider Information

NPI Number: 1174051908
Entity Type: Organization
Organization Name: Peach Blossom Dental, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 24, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 2256 NORTHLAKE PKWY STE 150
City: Tucker
State: Georgia
ZIP Code: 30084-4004
Phone: (770) 934-5144

Authorized Official

Name: DR. ANGELA DAWN WRIGHT, DDS
Title: OWNER
Phone: (770) 934-5144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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