Towne Lake Family Dentistry, Ltd.

NPI #1629380191 in Woodstock, Georgia

Provider Information

NPI Number: 1629380191
Entity Type: Organization
Organization Name: Towne Lake Family Dentistry, Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 13, 2010
Last Updated: Jul 13, 2010

Practice Location

Address: 120 N MEDICAL PKWY
Address 2: BLDG 200, STE 100
City: Woodstock
State: Georgia
ZIP Code: 30189-7062
Phone: (770) 591-7929

Authorized Official

Name: DR. RAY MORGAN JR., D.M.D.
Title: OWNER
Phone: (770) 591-7929

Specialties & Taxonomy Codes

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

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