DR. Jamie Ann De Stefano, DMD, PHD

NPI #1114156643 in Augusta, Georgia

Provider Information

NPI Number
1114156643
Entity Type
Individual
Name
DR. Jamie Ann De Stefano, DMD, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD, PHD
Enumeration Date
Jul 6, 2009
Last Updated
Jul 6, 2009

Practice Location

Address
1459 LANEY WALKER BLVD
Address 2
MCG SOD AD 2809
State
Georgia
ZIP Code
30912-2809
Phone
(706) 721-2441

Specialties & Taxonomy Codes

Specialty
Dentist

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