DR. Jelani Tenoa Washington SR., D.D.S.

NPI #1083698757 in Conyers, Georgia

Provider Information

NPI Number
1083698757
Entity Type
Individual
Name
DR. Jelani Tenoa Washington SR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Dec 6, 2005
Last Updated
Nov 12, 2014

Practice Location

Address
976 EAST FREEWAY DRIVE
Address 2
SUITE A
State
Georgia
ZIP Code
30094
Phone
(615) 491-2127

Specialties & Taxonomy Codes

Specialty
Dentist

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