| Tebo Dentistry For Kids Cumming Llc | |
|
1725 Buford Hwy Cumming GA 30041-8201 | |
| (770) 925-3300 | |
| (770) 925-3301 |
| Full Name | Tebo Dentistry For Kids Cumming Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1725 Buford Hwy, Cumming, Georgia |
| Authorized Official Name and Position | Mark Thebaut (DDS) |
| Authorized Official Contact | 7709253300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tebo Dentistry For Kids Cumming Llc Po Box 1953 Lilburn GA 30048-1953 Ph: (770) 925-3300 | Tebo Dentistry For Kids Cumming Llc 1725 Buford Hwy Cumming GA 30041-8201 Ph: (770) 925-3300 |
| NPI Number | 1659085637 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659085637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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