Individual
DR. KELLY RAY GOBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
440 ERNEST W BARRETT PKWY NW, SUITE 29, KENNESAW, GA 30144-4918
(770) 427-6000
Mailing address
20 RAVENFIELD RD, TAYLORSVILLE, GA 30178-1510
(770) 606-0607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012291
GA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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