Individual
DR. DAVID LEE BRASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1383 MANCHESTER DR NE, SUITE A, CONYERS, GA 30012-3882
(770) 922-6149
(770) 922-6680
Mailing address
1383 MANCHESTER DR NE, SUITE A, CONYERS, GA 30012-3882
(770) 922-6149
(770) 922-6680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012226
GA
Other
Enumeration date
12/05/2006
Last updated
06/25/2013
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