Organization
JC DENTAL P.C.
Active
Other names
Highland Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CHOI (PRESIDENT)
(678) 546-2603
Entity
Organization
Contact information
Practice address
530 HIGHLAND STATION DR, SUITE #1006, SUWANEE, GA 30024
(678) 546-2603
(678) 546-2607
Mailing address
530 HIGHLAND STATION DR, SUITE #1006, SUWANEE, GA 30024
(678) 546-2603
(678) 546-2607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11856
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925889B
—
GA
Enumeration date
05/23/2012
Last updated
05/23/2012
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