Individual
BRIAN JOHN GOWASACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5340 GA HWY 20 SOUTH, SUITE 1, COVINGTON, GA 30016
(770) 788-9900
(770) 788-1040
Mailing address
5340 GA HWY 20 SOUTH, SUITE 1, COVINGTON, GA 30016
(770) 788-9900
(770) 788-1040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10324
GA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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