Organization
JEBEDIAH S CHRISTY DDS - BRUNSWICK PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LA DUC (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
11455 CANAL CROSSING, BRUNSWICK, GA 31525
(912) 217-4953
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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