Individual
JENNIFER STACEY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5605 PRINCETON AVE STE B, COLUMBUS, GA 31904-9069
(706) 323-8811
Mailing address
5605 PRINCETON AVE STE B, COLUMBUS, GA 31904-9069
(706) 323-8811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013785
GA
Other
Enumeration date
05/28/2009
Last updated
08/10/2014
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