Individual
JODI-ANNE NICOLE PESSOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1187 DRUID WALK, DECATUR, GA 30033-3736
(301) 906-1535
Mailing address
1187 DRUID WALK, DECATUR, GA 30033-3736
(301) 906-1535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014055
GA
Other
Enumeration date
06/02/2008
Last updated
03/03/2016
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