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Organization
CHOATE DENTAL ASSOC PC
Active
Organization
CHOATE DENTAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIM JACKSON CHOATE DDS (PRES CHOATE DENTAL ASSOC PC)
(770) 382-0921
Entity
Organization
Contact information
Practice address
211 E MAIN ST, CARTERSVILLE, GA 30120
(770) 382-0921
(770) 607-1821
Mailing address
PO BOX 400, 211 E MAIN ST, CARTERSVILLE, GA 30120
(770) 382-0921
(770) 607-1821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6946
GA
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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