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Individual

DR. ALEXANDRA GOSNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
BUILDING 25501 BRAINARD AVE, FT GORDON, GA 30905-4603
(706) 787-7050
Mailing address
BUILDING 25501 BRAINARD AVE, FORT GORDON, GA 30905
(706) 787-7050

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019029926
IL
122300000X
Dentist
Primary
34764
TX
122300000X
Dentist
61729
KS
122300000X
Dentist
MSDEN.00000002
CO

Other

Enumeration date
08/06/2014
Last updated
09/23/2024
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