Individual
DR. JUSTIN WEITSENG CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13075 HIGHWAY 9 N STE 110, MILTON, GA 30004-5147
(770) 521-2100
Mailing address
1000 MADELINE LN, ATLANTA, GA 30350-4023
(404) 512-9355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN014085
GA
1223G0001X
General Practice Dentistry
DS038623
PA
1223P0221X
Pediatric Dentistry
Primary
DN014085
GA
1223P0221X
Pediatric Dentistry
DS038623
PA
Other
Enumeration date
05/28/2010
Last updated
07/10/2020
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