Individual
DR. CHANDA MONEE' GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5626 FULTON INDUSTRIAL BLVD., SUITE 110, ATLANTA, GA 30336
(404) 550-4905
Mailing address
7644 COLE LANE, ATLANTA, GA 30349
(404) 550-4905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011655
GA
Other
Enumeration date
09/11/2006
Last updated
04/14/2009
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