Organization
BUCKHEAD PERIODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DAY BRASWELL D.D.S. (OWNER)
(404) 261-9593
Entity
Organization
Contact information
Practice address
2970 PEACHTREE RD NW, SUITE #622, ATLANTA, GA 30305-2192
(404) 261-9593
(404) 261-9409
Mailing address
2970 PEACHTREE RD NW, SUITE #622, ATLANTA, GA 30305-2192
(404) 261-9593
(404) 261-9409
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN009901
GA
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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