Individual
JADILIA DDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
219 FRONT ST, BINGHAMTON, NY 13905
(607) 584-4545
(607) 584-4538
Mailing address
210 INTERSTATE NORTH PKWY SE STE 300, ATLANTA, GA 30339-2233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI21204
NJ
1223G0001X
General Practice Dentistry
DN015972
GA
Other
Enumeration date
03/16/2007
Last updated
02/03/2025
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