Organization
MORROW DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI TRUC HUYNH DDS (DENTIST)
(678) 422-6500
Entity
Organization
Contact information
Practice address
6452 S LEE ST, SUITE 7, MORROW, GA 30260-1771
(678) 422-6500
(678) 422-6588
Mailing address
6452 S LEE ST, SUITE 7, MORROW, GA 30260-1771
(678) 422-6500
(678) 422-6588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011920
GA
122300000X
Dentist
011936
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00810961A
—
GA
05
—
00811159B
—
GA
Enumeration date
08/31/2007
Last updated
08/31/2007
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