| Tebo Dentistry For Kids Dacula, Llc | |
|
1152 Auburn Rd Building 1, Suite 101 Dacula GA 30019-5444 | |
| (770) 925-3300 | |
| Not Available |
| Full Name | Tebo Dentistry For Kids Dacula, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1152 Auburn Rd, Dacula, Georgia |
| Authorized Official Name and Position | Jenniffer Connor (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 6789906331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tebo Dentistry For Kids Dacula, Llc Po Box 1953 Lilburn GA 30048-1953 Ph: (770) 925-3300 | Tebo Dentistry For Kids Dacula, Llc 1152 Auburn Rd Building 1, Suite 101 Dacula GA 30019-5444 Ph: (770) 925-3300 |
| NPI Number | 1689938862 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689938862 | NPI | - | NPPES |
| 1033449517 | Other | GA | NPI |
| 1245432004 | Other | GA | NPI |
| 1730316597 | Other | GA | NPI |
| 124533238 | Other | NPI |
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