Jarrett Harrell Walden D.M.D.

NPI 1699935403 - Dentist - 122300000X

NPI Details
NPI 1699935403
Gender Male
Enumeration Date 06/15/2008
Last Updated 06/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
108 GENTILLY RD
STATESBORO GA, 30458-5148, US
Phone (912) 764-6861
Fax
Business Location
108 GENTILLY RD
STATESBORO GA, 30458-5148, US
Phone (912) 764-6861
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number DN013751
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According to our database, Dr. Jarrett Harrell Walden D.M.D. NPI is 1699935403, taxonomy code is 122300000X and license number is DN013751, license state is located at Georgia. Jarrett Harrell Walden D.M.D. physically located at 108 Gentilly Rd, Statesboro GA, 30458-5148. NPI Number Jarrett Harrell Walden D.M.D. has the Individual type.

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1699935403 NPI number is provided on an as is basis without warranty of any kind. 1699935403 is maintained by the National Plan & Provider Enumeration System. The contents of Jarrett Harrell Walden D.M.D. are for informational purposes only.