Individual
JARED THOMAS KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3455 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4101
(770) 921-1115
Mailing address
3455 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015290
GA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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