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Organization

JEFFREY K WATERS D.M.D., P.C

Active
Other names
Endodontics of Atlanta
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY KENT WATERS D.M.D., M.S. (OWNER)
(678) 990-8034
Entity
Organization

Contact information

Practice address
2680 LAWRENCEVILLE HWY, SUITE 102, DECATUR, GA 30033-2500
(678) 990-8034
(770) 934-7176
Mailing address
2680 LAWRENCEVILLE HWY, SUITE 102, DECATUR, GA 30033-2526
(678) 990-8034
(770) 934-7176

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN013125
GA

Other

Enumeration date
10/10/2007
Last updated
09/13/2012
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