Individual
DR. JELANI TENOA WASHINGTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
976 EAST FREEWAY DRIVE, SUITE A, CONYERS, GA 30094
(615) 491-2127
Mailing address
976 EAST FREEWAY DRIVE, SUITE A, CONYERS, GA 30094
(615) 491-2127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013277
GA
122300000X
Dentist
8298
TN
Other
Enumeration date
12/06/2005
Last updated
11/12/2014
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