Individual
DR. CHELSEA E MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2980 LEWIS ST NW, KENNESAW, GA 30144-5635
(770) 422-1554
Mailing address
2980 LEWIS ST NW, KENNESAW, GA 30144-5635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016085
GA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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