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Organization

JARRELL PEDIATRIC DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY CAROLINE JARRELL DMD (PEDIATRIC DENTIST)
(706) 530-0700
Entity
Organization

Contact information

Practice address
1538 13TH AVE STE 100, COLUMBUS, GA 31901-1956
(706) 530-0700
Mailing address
2726 NANCY ST, COLUMBUS, GA 31906-1253
(706) 513-3909

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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