JONATHAN BARTOW ENNIS

AUGUSTA, GA
NPI1447743679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN015635)
Enumeration Date2018-06-12
Last Update Date2018-06-12
Business Address
Dr. JONATHAN BARTOW ENNIS DMD
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Mailing Address
Dr. JONATHAN BARTOW ENNIS DMD
1209 JOHNS RD
AUGUSTA, GA 30904-4407
Phone number: 706-464-5758