Organization
PEACHTREE CITY DENTAL GROUP, PC
Active
Other names
Peachtree Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JELANA BRYAN DDS (OWNER)
(770) 268-9112
Entity
Organization
Contact information
Practice address
1001 N PEACHTREE PKWY, SUITE A, PEACHTREE CITY, GA 30269-4210
(770) 268-9112
(770) 631-0023
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
05/11/2022
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