Anita S. Godon DDS

NPI #1528435203 in Brookhaven, Georgia

Provider Information

NPI Number: 1528435203
Entity Type: Organization
Organization Name: Anita S. Godon DDS
Primary Specialty: Dentist
Enumeration Date: Aug 28, 2015
Last Updated: Aug 28, 2015

Practice Location

Address: 2814 BUFORD HWY NE
City: Brookhaven
State: Georgia
ZIP Code: 30329-2103
Phone: (404) 486-7661

Authorized Official

Name: ANITA GORDON, DDS
Title: OWNER
Phone: (404) 486-7661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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