WAUNELLE JACKSON IAN

MARIETTA, GA
NPI1811006471
Former NameWAUNELLE JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  10271)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Mrs. WAUNELLE JACKSON IAN DDS
2520 WINDY HILL ROAD SUITE 103
MARIETTA, GA 30067
Phone number: 770-953-4801
Mailing Address
Mrs. WAUNELLE JACKSON IAN DDS
2520 WINDY HILL ROAD SUITE 103
MARIETTA, GA 30067
Phone number: 770-953-4801
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