Individual
SCOTT A BRUNDRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2310 BANKHEAD HWY, CARROLLTON, GA 30116-5828
(770) 832-1717
Mailing address
2310 BANKHEAD HWY, CARROLLTON, GA 30116-5828
(770) 832-1717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8479
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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