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Organization
JPC DENTAL GROUP
Active
Organization
JPC DENTAL GROUP
Active
Other names
Milton Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CHONG D.M.D. (OWNER)
(404) 512-9355
Entity
Organization
Contact information
Practice address
13075 HIGHWAY 9 N, STE 110, MILTON, GA 30004-5145
(404) 512-9355
Mailing address
13075 HIGHWAY 9 N, STE 110, MILTON, GA 30004-5145
(404) 512-9355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
DN014085
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN013923
GA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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