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Individual

DR. GERALD B. MCFADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3585 PEACHTREE INDUSTRIAL BLVD, SUITE 146, DULUTH, GA 30096-6378
(678) 822-7645
(678) 822-7647
Mailing address
3585 PEACHTREE INDUSTRIAL BLVD, SUITE 146, DULUTH, GA 30096-6378
(678) 822-7645
(678) 822-7647

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12447
MD
1223G0001X
General Practice Dentistry
Primary
DN012447
GA

Other

Enumeration date
02/01/2007
Last updated
07/09/2007
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