Organization
COOSA DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRADFORD GANDY D.D.S (DENTIST)
(770) 748-7736
Entity
Organization
Contact information
Practice address
109 EAST AVE, CEDARTOWN, GA 30125-2921
(770) 748-7736
(770) 748-4015
Mailing address
109 EAST AVE, CEDARTOWN, GA 30125-2921
(770) 748-7736
(770) 748-4015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010447
GA
Other
Enumeration date
05/22/2007
Last updated
11/19/2007
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