Organization
FEBO DENTISTRY PC
Active
Other names
DreamSmile of Norcross
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA FEBO-CUELLO DMD (DENTIST/ OWNER)
(617) 308-5088
Entity
Organization
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD STE 302, BERKELEY LAKE, GA 30071-5736
(770) 449-1497
Mailing address
2080 ARBOR RIDGE LN, CUMMING, GA 30040-5304
(617) 308-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12135222134
—
GA
Enumeration date
08/10/2017
Last updated
08/10/2017
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