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DR. JENNIFER HAUSER BISIG DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1740439157
Individual Registrant:DR. JENNIFER HAUSER BISIG DMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1400 BUFORD HWY SUITE B-4 BUFORD, GA 30518-8721 US
Tel: 770-831-0551 Fax: 770-831-0662
Tel: 770-831-0551 Fax: 770-831-0662
Contact information for business:
1400 BUFORD HWY SUITE B-4 BUFORD, GA 30518-8721 US
Tel: 770-831-0551 Fax: 770-831-0662
Tel: 770-831-0551 Fax: 770-831-0662
Registration Information:
NPI: 1740439157
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | GA | DN013139 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
