DR. Grady Mack Goss, DMD

NPI #1255483806 in Scottsboro, Alabama

Provider Information

NPI Number: 1255483806
Entity Type: Individual
Name: DR. Grady Mack Goss, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 313 PARKS AVE
City: Scottsboro
State: Alabama
ZIP Code: 35768
Phone: (256) 259-1746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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