Individual
DR. JONATHAN JAMIR EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2191 NORTHLAKE PKWY, BULDING 11, SUITE 20, TUCKER, GA 30084-4166
(770) 934-3506
Mailing address
2191 NORTHLAKE PKWY, BULDING 11, SUITE 20, TUCKER, GA 30084-4166
(770) 934-3506
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012741
GA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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