Individual
JAMAL BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 GA HIGHWAY 122 W, HAHIRA, GA 31632-1061
(919) 410-0014
Mailing address
3711 OLYMPIA DR, RALEIGH, NC 27603-3460
(336) 588-6096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015731
GA
1223G0001X
General Practice Dentistry
12167
NC
Other
Enumeration date
07/30/2018
Last updated
05/18/2026
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