Individual
MRS. JENAI BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9579 GA-5 SUITE 701, DOUGLASVILLE, GA 30135-3356
(770) 746-8683
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123151
GA
Other
Enumeration date
05/08/2023
Last updated
06/20/2025
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