Organization
PEACHSTATE PERIO AND IMPLANTS, INC.
Active
Other names
Inspiring Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAGE PHELPS BARDEN D.D.S. (PRESIDENT)
(404) 272-2512
Entity
Organization
Contact information
Practice address
1024 MARKET PLACE BLVD, CUMMING, GA 30041-7921
(770) 844-6771
Mailing address
1024 MARKET PLACE BLVD, CUMMING, GA 30041-7921
(770) 844-6771
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN010757
GA
Other
Enumeration date
08/13/2013
Last updated
05/04/2015
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