Individual
DR. GERALD LOUIS KNOEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4879 LAVISTA RD, SUITE 300, TUCKER, GA 30084-8517
(770) 938-5828
(770) 938-6493
Mailing address
4879 LAVISTA RD, SUITE 300, TUCKER, GA 30084-8517
(770) 938-5828
(770) 938-6493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN006980
GA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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