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Individual

DR. JENNIFER C. WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1010 PRINCE AVE, STE. 202 E, ATHENS, GA 30606-5811
(706) 548-7373
(706) 548-8088
Mailing address
1010 PRINCE AVE, STE. 202 E, ATHENS, GA 30606-5811
(706) 548-7373
(706) 548-8088

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
011577
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00889798B
GA
Enumeration date
02/13/2006
Last updated
06/01/2010
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