Individual
JENNIFER MAKELLA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1177 TRENTON CT SW, MABLETON, GA 30126-1548
(678) 945-7280
Mailing address
1177 TRENTON CT SW, MABLETON, GA 30126-1548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022438
IL
Other
Enumeration date
09/13/2006
Last updated
10/18/2011
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