Individual
DR. JACOB SLUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
113 TOWNE LAKE PKWY, SUITE 110, WOODSTOCK, GA 30188-4853
(770) 928-3055
Mailing address
328 CHESTER ST SE, MARIETTA, GA 30060-2041
(423) 762-1903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015231
GA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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