Individual
JESSIE YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2098 TERON TRCE STE 600, DACULA, GA 30019-1664
(770) 614-8823
Mailing address
2098 TERON TRCE STE 600, DACULA, GA 30019-1664
(770) 614-8823
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN123329
GA
Other
Enumeration date
02/04/2021
Last updated
01/15/2025
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