Individual
DR. JENNIFER DAWN OKHIRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
200 E PONCE DE LEON AVE, DECATUR, GA 30030
(404) 643-7543
Mailing address
200 E PONCE DE LEON AVE, DECATUR, GA 30030
(404) 643-7543
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014270
GA
Other
Enumeration date
06/18/2009
Last updated
09/02/2021
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