Organization
PEACHTREE CHILDREN'S DENTISTRY BETHLEHEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA M COX (OFFICE MANAGER)
(770) 979-6400
Entity
Organization
Contact information
Practice address
916 LOGANVILLE HWY, BETHLEHEM, GA 30620-2144
(770) 867-5437
(770) 307-4115
Mailing address
916 LOGANVILLE HWY, BETHLEHEM, GA 30620-2144
(770) 867-5437
(770) 307-4115
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012519
GA
1223P0221X
Pediatric Dentistry
DN012595
GA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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