Organization · Type 2 NPI
Tebo Dentistry for Kids Peachtree Corners, LLC
Dental Clinic/Center · Peachtree Corners, GA
NPI number
1083172035
Active
Practice location
6460 Spalding Drive, Suite C
Peachtree Corners, GA 30092
Mailing address
PO Box 1953
Lilburn, GA 30048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Peachtree Corners
About NPI 1083172035
Tebo Dentistry for Kids Peachtree Corners, LLC's National Provider Identifier is 1083172035, issued on Mar 8, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Peachtree Corners, GA. The record was last updated on Jun 11, 2019.