Individual
DR. VATSALA JAJOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9745 ROD RD, ALPHARETTA, GA 30022-7563
(217) 220-3716
Mailing address
1455 OLD ALABAMA RD STE 120, ROSWELL, GA 30076-2164
(217) 220-3716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028393
IL
122300000X
Dentist
Primary
DN122515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN122515
DENTAL LICENSE
GA
Enumeration date
07/15/2010
Last updated
10/13/2022
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