Individual
DR. JONATHAN CHARLES WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PC
Contact information
Practice address
3020 ROSWELL RD, MARIETTA, GA 30062-4996
(770) 977-5547
(770) 509-2326
Mailing address
1020 DAVENPORT CIR, POWDER SPRINGS, GA 30127-4213
(678) 354-4009
(770) 509-2326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9125
GA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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