Individual
DR. JARRETT HARRELL WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
108 GENTILLY RD, STATESBORO, GA 30458-5148
(912) 764-6861
Mailing address
108 GENTILLY RD, STATESBORO, GA 30458-5148
(912) 764-6861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013751
GA
Other
Enumeration date
06/15/2008
Last updated
06/15/2008
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