Organization
MEADOWBROOK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA HERINGTON DMD (PRESIDENT)
(678) 522-3635
Entity
Organization
Contact information
Practice address
2405 SATELLITE BLVD, SUITE 115, DULUTH, GA 30096-5818
(770) 622-5909
Mailing address
2405 SATELLITE BLVD, SUITE 115, DULUTH, GA 30096-5818
(770) 622-5909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
01/29/2017
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