Individual
DR. BRANDON DALE FRODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5075 PEACHTREE PKWY, SUITE 105-B, NORCROSS, GA 30092-6508
(770) 448-9333
(678) 990-0359
Mailing address
1418 DRESDEN DR NE, UNIT 205, BROOKHAVEN, GA 30319-7000
(404) 618-0380
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN013484
GA
Other
Enumeration date
04/17/2007
Last updated
03/23/2016
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