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Individual

DR. GROVER CLEVELAND GADDY IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
912 RAILROAD AVE, TALLAHASSEE, FL 32310-4348
(850) 404-6450
(850) 921-9770
Mailing address
912 RAILROAD AVE, TALLAHASSEE, FL 32310-4348
(850) 404-6450
(850) 921-9770

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN24130
FL

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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