Organization
PEACHTREE CHILDRENS DENTISTRY GAINESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMEUN NANCY KIL DDS (CO-OWNER)
(678) 438-1833
Entity
Organization
Contact information
Practice address
885 DAWSONVILLE HWY., SUITE 1130, GAINESVILLE, GA 30501
(770) 497-0110
Mailing address
885 DAWSONVILLE HWY., SUITE 1130, GAINESVILLE, GA 30501
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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