Organization
MONIRA M UDDIN D.D.S., P.C.
Active
Other names
Lilburn Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIRA M UDDIN D.D.S. (CEO)
(770) 925-4773
Entity
Organization
Contact information
Practice address
629 BEAVER RUIN RD NW, SUITE A, LILBURN, GA 30047-3401
(770) 925-4773
(770) 925-8773
Mailing address
629 BEAVER RUIN RD NW, SUITE A, LILBURN, GA 30047-3401
(770) 925-4773
(770) 925-8773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013411
GA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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