Coosa Dental Associates, LLC

NPI #1326258351 in Cedartown, Georgia

Provider Information

NPI Number
1326258351
Entity Type
Organization
Organization Name
Coosa Dental Associates, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 22, 2007
Last Updated
Nov 19, 2007

Practice Location

Address
109 EAST AVE
State
Georgia
ZIP Code
30125-2921
Phone
(770) 748-7736

Authorized Official

Name
DR. DAVID BRADFORD GANDY, D.D.S
Title
DENTIST
Phone
(770) 748-7736

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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