Cobb Family Dentistry, LLC

NPI #1598090508 in Mableton, Georgia

Provider Information

NPI Number: 1598090508
Entity Type: Organization
Organization Name: Cobb Family Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 8, 2009
Last Updated: Oct 8, 2009

Practice Location

Address: 5345 FLOYD RD SW STE M
City: Mableton
State: Georgia
ZIP Code: 30126-2270
Phone: (770) 944-8620

Authorized Official

Name: DR. LOGAN V GORDON
Title: BUSINESS MANAGER
Phone: (770) 944-8620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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