Coosa Dental Sleep Therapy LLC

NPI #1336519636 in Cedartown, Georgia

Provider Information

NPI Number: 1336519636
Entity Type: Organization
Organization Name: Coosa Dental Sleep Therapy LLC
Primary Specialty: Dentist
Enumeration Date: Sep 29, 2015
Last Updated: Sep 29, 2015

Practice Location

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

Authorized Official

Name: DR. DAVID B GANDY, DDS
Title: OWNER
Phone: (770) 748-7736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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