Organization
PEACHTREE SMILES II PC
Active
Other names
peachtree Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH TRALONGO DDS (PRESIDENT)
(516) 662-5716
Entity
Organization
Contact information
Practice address
1720 PEACHTREE ST NW STE 632, ATLANTA, GA 30309-2450
(404) 410-1039
Mailing address
1720 PEACHTREE ST NW STE 632, ATLANTA, GA 30309-2450
(404) 410-1039
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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