Individual
DR. CHANTE MARSHAUN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1680 E WEST CONNECTOR STE 112, AUSTELL, GA 30106-1241
(770) 742-6330
Mailing address
1259 S WABASH AVE, CHICAGO, IL 60605-2412
(312) 846-6752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00000000000000
GA
122300000X
Dentist
019.033797
IL
122300000X
Dentist
Primary
DN122750
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2022
Last updated
09/18/2023
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