Organization
PEACH BLOSSOM DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA DAWN WRIGHT DDS (OWNER)
(770) 934-5144
Entity
Organization
Contact information
Practice address
2256 NORTHLAKE PKWY STE 150, TUCKER, GA 30084-4004
(770) 934-5144
(678) 273-3634
Mailing address
2256 NORTHLAKE PKWY STE 150, TUCKER, GA 30084-4004
(770) 934-5144
(678) 273-3634
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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