Tebo Dentistry for Kids Dacula, LLC

NPI #1689938862 in Dacula, Georgia

Provider Information

NPI Number
1689938862
Entity Type
Organization
Organization Name
Tebo Dentistry for Kids Dacula, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 2, 2012
Last Updated
Jul 2, 2012

Practice Location

Address
1152 AUBURN RD
Address 2
BUILDING 1, SUITE 101
City
Dacula
State
Georgia
ZIP Code
30019-5444
Phone
(770) 925-3300

Authorized Official

Name
JENNIFFER CONNOR
Title
ADMINISTRATIVE ASSISTANT
Phone
(678) 990-6331

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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