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Organization
J. CARL CHILTON DDS, INC
Active
Organization
J. CARL CHILTON DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. CARL CHILTON DDS (OWNER)
(806) 274-5329
Entity
Organization
Contact information
Practice address
434 WEATHERLY ST, BORGER, TX 79007-4220
(806) 274-5329
(806) 274-7115
Mailing address
434 WEATHERLY ST, BORGER, TX 79007-4220
(806) 274-5329
(806) 274-7115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995029-01
—
TX
Enumeration date
01/21/2014
Last updated
01/21/2014
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