Individual
JEFFREY ALLEN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1625 BROADRICK DRIVE, DALTON, GA 30720
(706) 226-3334
(706) 277-0689
Mailing address
1625 BROADRICK DRIVE, DALTON, GA 30720
(706) 226-3334
(706) 277-0689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10550
GA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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