Individual
DR. JESSE HADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3648 PEACHTREE RD NE, PENTHOUSE 4-S, ATLANTA, GA 30319-1255
(404) 842-1196
(404) 842-1198
Mailing address
3648 PEACHTREE RD NE, PENTHOUSE 4-S, ATLANTA, GA 30319-1255
(404) 842-1196
(404) 842-1198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN006221
GA
Other
Enumeration date
01/28/2009
Last updated
12/28/2011
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