Individual
DR. TARA TEWOGBADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3966 ANNISTOWN RD, SNELLVILLE, GA 30039-6970
(770) 469-4192
Mailing address
3966 ANNISTOWN RD, SNELLVILLE, GA 30039-6970
(770) 469-4192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8254
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013995
GA
Other
Enumeration date
06/13/2007
Last updated
11/13/2025
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