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Individual

DR. DENNIS B JAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
98 BROAD ST SW, ATLANTA, GA 30303-3412
(404) 688-7574
(404) 688-7578
Mailing address
98 BROAD ST SW, ATLANTA, GA 30303-3412
(404) 688-7574
(404) 688-7578

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7878
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00049431A
GA
Enumeration date
11/09/2006
Last updated
07/09/2007
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