Individual
JAYNE KELLY LABUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4226 HARTLEY BRIDGE RD STE 102, MACON, GA 31216-4116
(478) 621-7657
Mailing address
4226 HARTLEY BRIDGE RD STE 102, MACON, GA 31216-4116
(478) 621-7657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014411
GA
Other
Enumeration date
08/07/2012
Last updated
01/25/2022
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