Individual
DR. PAUL EMERSON GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1026 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1704
(770) 297-0401
Mailing address
1026 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1704
(770) 297-0401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014640
GA
Other
Enumeration date
08/01/2013
Last updated
07/05/2016
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