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Organization
THE PACIFIC COAST GROUP
Active
Organization
THE PACIFIC COAST GROUP
Active
Other names
Dove Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY MATHEW DMD (OWNER)
(404) 299-7411
Entity
Organization
Contact information
Practice address
2883 NORTH DECATUR RD., SUITE F, DECATUR, GA 30033
(404) 299-7411
(404) 299-5466
Mailing address
2883 NORTH DECATUR RD., SUITE F, DECATUR, GA 30033
(404) 299-7411
(404) 299-5466
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014228
GA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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