Organization
THE PACIFIC COAST GROUP
Active
Other names
Dove Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY MATHEW DMD (OWNER)
(404) 299-7411
Entity
Organization
Contact information
Practice address
2883 NORTH DECATUR RD., SUITE F, DECATUR, GA 30033
(404) 299-7411
(404) 299-5466
Mailing address
2883 NORTH DECATUR RD., SUITE F, DECATUR, GA 30033
(404) 299-7411
(404) 299-5466
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014228
GA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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