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1447743679
JONATHAN BARTOW ENNIS
AUGUSTA, GA
NPI
1447743679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015635)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
Dr. JONATHAN BARTOW ENNIS DMD
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
Dr. JONATHAN BARTOW ENNIS DMD
1209 JOHNS RD
AUGUSTA, GA 30904-4407
Phone number: 706-464-5758
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