Individual
CHRIS SHOLOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9590 MEDLOCK BRIDGE RD, SUITE C, DULUTH, GA 30097-5987
(770) 814-7080
(770) 814-7090
Mailing address
9590 MEDLOCK BRIDGE RD, SUITE C, DULUTH, GA 30097-5987
(770) 814-7080
(770) 814-7090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9781
GA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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