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1144224478
JASON G BOUTWELL
DOUGLASVILLE, GA
NPI
1144224478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 011683)
Enumeration Date
2005-06-01
Last Update Date
2015-09-03
Business 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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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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