Organization
BRAELINN VILLAGE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY NASH (OFFICE MANAGER)
(770) 486-9400
Entity
Organization
Contact information
Practice address
424 CROSSTOWN RD, PEACHTREE CITY, GA 30269-2915
(770) 486-9400
(770) 486-8814
Mailing address
424 CROSSTOWN RD, PEACHTREE CITY, GA 30269-2915
(770) 486-9400
(770) 486-8814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10373
GA
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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