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Organization
MORNINGBROOKE DENTAL
Active
Organization
MORNINGBROOKE DENTAL
Active
Other names
Robson Crossing Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA UBICO (OFFICE MANAGER)
(770) 297-5110
Entity
Organization
Contact information
Practice address
3446 WINDER HWY STE 501-Q, FLOWERY BRANCH, GA 30542-3007
(770) 297-5110
Mailing address
3446 WINDER HWY STE 501-Q, FLOWERY BRANCH, GA 30542-3007
(770) 297-5110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN013784
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
01/22/2019
Last updated
06/11/2019
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