Individual
JAZMYN ELIZABETH LAING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(404) 523-6571
Mailing address
2830 COLONY CV, SOUTHAVEN, MS 38672-5003
(214) 453-9489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122632
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/18/2021
Last updated
05/31/2022
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