Individual
JILLIAN NICOLE FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
144 MORELAND AVE NE STE A, ATLANTA, GA 30307-2660
(404) 329-0411
Mailing address
888 JUNIPER ST NE APT 1220, ATLANTA, GA 30309-4828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN016131
GA
122300000X
Dentist
DN016131-T
GA
Other
Enumeration date
09/03/2020
Last updated
08/14/2021
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