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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