Most Relevant Information
Provider Data
  | NPI Number: | 1003344698 | 
| Provider Name: | GEORGE M JUSU DDS | 
| Entity Type: | Individual | 
| Taxonomy Code: | 122300000X | 
| Specialty: | Dentist | 
| License Number: | DN22559 | 
Most Important Dates
  | Enumeration Date: | 05/26/2017 | 
| Last Updated: | 05/26/2017 | 
Provider Practice Location
  3120 MAHAN DRIVE
      
      TALLAHASSEE
      FL
      32308
  Practice Location Phone/Fax
      | Phone: | 2175408386 | 
| Fax: | 
Provider Mailing Location
  3120 MAHAN DRIVE
      
      TALLAHASSEE
      FL
      32308
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |