JASON G BOUTWELL

DOUGLASVILLE, GA
NPI1144224478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  011683)
Enumeration Date2005-06-01
Last Update Date2015-09-03
Business Address
Dr. JASON G BOUTWELL DMD
3009 CHAPEL HILL RD SUITE A
DOUGLASVILLE, GA 30135-1748
Phone number: 770-942-8288
Mailing Address
Dr. JASON G BOUTWELL DMD
3009 CHAPEL HILL RD SUITE A
DOUGLASVILLE, GA 30135-1748
Phone number: 770-942-8288
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