Jelani Tenoa Washington SR. D.D.S.

NPI 1083698757 - Dentist - 122300000X

NPI Details
NPI 1083698757
Gender Male
Enumeration Date 12/06/2005
Last Updated 11/12/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
976 EAST FREEWAY DRIVE
SUITE A
CONYERS GA, 30094, US
Phone (615) 491-2127
Fax
Business Location
976 EAST FREEWAY DRIVE
SUITE A
CONYERS GA, 30094, US
Phone (615) 491-2127
Fax
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number 8298
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According to our database, Dr. Jelani Tenoa Washington SR. D.D.S. NPI is 1083698757, taxonomy code is 122300000X and license number is 8298, license state is located at Tennessee. Jelani Tenoa Washington SR. D.D.S. physically located at 976 East Freeway Drive, Conyers GA, 30094. NPI Number Jelani Tenoa Washington SR. D.D.S. has the Individual type.

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1083698757 NPI number is provided on an as is basis without warranty of any kind. 1083698757 is maintained by the National Plan & Provider Enumeration System. The contents of Jelani Tenoa Washington SR. D.D.S. are for informational purposes only.