Organization
PEACH FAMILY DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWSON KENDRICK MATHEWS D.M.D. (OWNER)
(478) 825-3315
Entity
Organization
Contact information
Practice address
302 KNOXVILLE ST, FORT VALLEY, GA 31030-4251
(478) 825-3315
(478) 825-8396
Mailing address
302 KNOXVILLE ST, FORT VALLEY, GA 31030-4251
(478) 825-3315
(478) 825-8396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008283
GA
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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