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1093881021
JONATHAN MAXWELL CHRISENBERRY THREADGILL
MARIETTA, GA
NPI
1093881021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA DN014348)
Enumeration Date
2006-11-28
Last Update Date
2022-07-21
Business Address
-- JONATHAN MAXWELL CHRISENBERRY THREADGILL D.M.D.
1000 JOHNSON FERRY RD BLDG H
MARIETTA, GA 30068-5518
Phone number: 770-977-0364
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Mailing Address
-- JONATHAN MAXWELL CHRISENBERRY THREADGILL D.M.D.
1000 JOHNSON FERRY RD BLDG H
MARIETTA, GA 30068-5518
Phone number: 678-819-6536
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