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Organization
PEACHTREE SMILES II PC
Active
Organization
PEACHTREE SMILES II PC
Active
Other names
peachtree Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH TRALONGO DDS (PRESIDENT)
(516) 662-5716
Entity
Organization
Contact information
Practice address
1720 PEACHTREE ST NW STE 632, ATLANTA, GA 30309-2450
(404) 410-1039
Mailing address
1720 PEACHTREE ST NW STE 632, ATLANTA, GA 30309-2450
(404) 410-1039
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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