Individual
PEYTON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 COBB PKWY NW STE 160, ACWORTH, GA 30101-8379
(770) 203-1711
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2132
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015629
GA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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