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Organization

PCDC ATLANTA LLC

Active
Other names
Peachtree-Collier Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. G. JOSEPH PELUSO III DMD (SOLE MANAGING MEMBER)
(404) 405-7756
Entity
Organization

Contact information

Practice address
3098 PIEDMONT RD NE, SUITE 100, ATLANTA, GA 30305-2637
(404) 351-9307
(404) 355-2555
Mailing address
3098 PIEDMONT RD NE, SUITE 100, ATLANTA, GA 30305-2637
(404) 351-9307
(404) 355-2555

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011882
GA

Other

Enumeration date
09/23/2014
Last updated
11/22/2016
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