Individual
DR. JAMIE ANN DE STEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, PHD
Contact information
Practice address
1459 LANEY WALKER BLVD, MCG SOD AD 2809, AUGUSTA, GA 30912-2809
(706) 721-2441
Mailing address
7 EAGLE POINTE DR, AUGUSTA, GA 30909-6057
(706) 667-6778
(706) 667-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8157
KY
122300000X
Dentist
Primary
DN012409
GA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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