Irving, Jetoria
Irving, Jetoria is an individual health care provider with primary practice located at 1200 Ernest W Barrett Pkwy Nw Ste 200 , Kennesaw GA 30144-4513. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Irving, Jetoria can be contacted via phone (678) 805-8057.Contact Information
Primary practice address
1200 Ernest W Barrett Pkwy Nw Ste 200
Kennesaw GA 30144-4513
Phone: (678) 805-8057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN015711 | Georgia |
Profile Details
| NPI number | 1437636321 |
|---|---|
| LBN Legal business name | Irving, Jetoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Sep 24th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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