| NPI | 1396850939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIM JACKSON CHOATE Pres Choate Dental Assoc Pc 770-382-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 6946) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |