Individual
JENY FERNANDA DOMINGUEZ CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 S COBB DR SE, SMYRNA, GA 30080-7859
(470) 282-0051
Mailing address
1520 HASCALL DR SW, MARIETTA, GA 30064-4801
(678) 467-8025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123565
GA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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