Individual
ROBERT S GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 HARWELL AVE, LAGRANGE, GA 30240-3132
(706) 837-0123
(706) 884-2649
Mailing address
1579F MONROE DR NE # 506, ATLANTA, GA 30324-5016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011177
GA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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