DR. Jennifer A Dattolo, O.D.

NPI #1962596627 in Woodstock, Georgia

Provider Information

NPI Number: 1962596627
Entity Type: Individual
Name: DR. Jennifer A Dattolo, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist - Vision Therapy
Credential: O.D.
Enumeration Date: Oct 3, 2006
Last Updated: Jun 9, 2016

Practice Location

Address: 1075 BUCKHEAD XING
Address 2: SUITE 130
City: Woodstock
State: Georgia
ZIP Code: 30189-4262
Phone: (770) 702-5996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Vision Therapy — Vision Therapy	152WV0400X	Primary

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