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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