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Dentistry for Children of Jonesboro, LLC

NPI #1083915896 in Jonesboro, Georgia

Provider Information

NPI Number
1083915896
Entity Type
Organization
Organization Name
Dentistry for Children of Jonesboro, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 10, 2010
Last Updated
Nov 10, 2010

Practice Location

Address
435 ARROWHEAD BLVD
City
Jonesboro
State
Georgia
ZIP Code
30236-1219
Phone
(770) 478-8400

Authorized Official

Name
DR. CHARLES COULTER
Title
PEDIATRIC DENTIST
Phone
(770) 473-1350

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice
Dentist - Pediatric Dentistry — Pediatric Dentistry

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