Organization
TOWNE LAKE FAMILY DENTISTRY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY MORGAN JR. D.M.D. (OWNER)
(770) 591-7929
Entity
Organization
Contact information
Practice address
120 N MEDICAL PKWY, BLDG 200, STE 100, WOODSTOCK, GA 30189-7062
(770) 591-7929
Mailing address
120 N MEDICAL PKWY, BLDG 200, STE 100, WOODSTOCK, GA 30189-7062
(770) 591-7929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011800
GA
1223G0001X
General Practice Dentistry
014049
GA
1223G0001X
General Practice Dentistry
Primary
10504
GA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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