Individual
MRS. JILL M GOLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3400A OLD MILTON PARKWAY, SUITE 430, ALPHARETTA, GA 30005
(770) 667-0669
Mailing address
14905 E BLUFF RD, ALPHARETTA, GA 30004-3161
(770) 667-0669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011178
GA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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