# PEACH TREE DENTAL GROUP, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEACH TREE DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154580645
- **Authorized official:** DR. BRIAN D BUEHLER DDS (OWNER DOCTOR)
- **Authorized official phone:** (480) 888-1416

## Contact information

- **Practice address:** 21582 S ELLSWORTH LOOP RD, SUITE 126, QUEEN CREEK, AZ 85242-7881
- **Practice address phone:** (480) 888-1416
- **Mailing address:** 2860 MICHELLE FL 2, 2ND FLOOR, IRVINE, CA 92606-1008
- **Mailing address phone:** (714) 368-2077
- **Mailing address fax:** (714) 368-2091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 01/21/2010