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Organization
PEACHSTATE PERIO AND IMPLANTS, INC.
Active
Organization
PEACHSTATE PERIO AND IMPLANTS, INC.
Active
Other names
Inspiring Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAGE PHELPS BARDEN D.D.S. (PRESIDENT)
(404) 272-2512
Entity
Organization
Contact information
Practice address
1024 MARKET PLACE BLVD, CUMMING, GA 30041-7921
(770) 844-6771
Mailing address
1024 MARKET PLACE BLVD, CUMMING, GA 30041-7921
(770) 844-6771
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN010757
GA
Other
Enumeration date
08/13/2013
Last updated
05/04/2015
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