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

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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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.