Organization
JSA DENTAL ASSOCIATES MCDONOUGH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA ADKINS (DENTIST)
(770) 957-5214
Entity
Organization
Contact information
Practice address
400 MCDONOUGH PKWY, MCDONOUGH, GA 30253-8946
(770) 957-5214
(770) 957-5215
Mailing address
400 MCDONOUGH PKWY, MCDONOUGH, GA 30253-8946
(770) 957-5214
(770) 957-5215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013121
GA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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