Individual
STEPHANIE ANN JAIPAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3845 MEDICAL PARK DR, AUSTELL, GA 30106-1109
(770) 944-3737
Mailing address
1000 PARK AVE NE UNIT 810, ATLANTA, GA 30326-3449
(917) 880-4320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122712
GA
Other
Enumeration date
04/17/2023
Last updated
08/30/2023
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