DR. Jesse Hader, DDS

NPI #1003054156 in Atlanta, Georgia

Provider Information

NPI Number: 1003054156
Entity Type: Individual
Name: DR. Jesse Hader, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 28, 2009
Last Updated: Dec 28, 2011

Practice Location

Address: 3648 PEACHTREE RD NE
Address 2: PENTHOUSE 4-S
City: Atlanta
State: Georgia
ZIP Code: 30319-1255
Phone: (404) 842-1196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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