Organization
MORROW FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HA N. LE DMD (OWNER)
(770) 703-4205
Entity
Organization
Contact information
Practice address
6319A JONESBORO ROAD, MORROW, GA 30260
(770) 703-4205
Mailing address
6319A JONESBORO RD, MORROW, GA 30260-1730
(770) 703-4205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110724D
—
GA
Enumeration date
10/14/2016
Last updated
10/14/2016
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