Monira M Uddin D.d.s., P.c.

NPI #1215168380 in Lilburn, Georgia

Provider Information

NPI Number: 1215168380
Entity Type: Organization
Organization Name: Monira M Uddin D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 6, 2009
Last Updated: Aug 6, 2009

Practice Location

Address: 629 BEAVER RUIN RD NW
Address 2: SUITE A
City: Lilburn
State: Georgia
ZIP Code: 30047-3401
Phone: (770) 925-4773

Authorized Official

Name: DR. MONIRA M UDDIN, D.D.S.
Title: CEO
Phone: (770) 925-4773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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