Individual
DR. KIMBERLY CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
655 ATLANTA RD, STE 701, CUMMING, GA 30040-2785
(770) 889-8420
Mailing address
14 NORTHEAST COVE CIR, DAWSONVILLE, GA 30534
(706) 216-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011796
GA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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