| Coosa Dental Associates, Llc | |
|
109 East Ave Cedartown GA 30125-2921 | |
| (770) 748-7736 | |
| (770) 748-4015 |
| Full Name | Coosa Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 East Ave, Cedartown, Georgia |
| Authorized Official Name and Position | David Bradford Gandy (DENTIST) |
| Authorized Official Contact | 7707487736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosa Dental Associates, Llc 109 East Ave Cedartown GA 30125-2921 Ph: (770) 748-7736 | Coosa Dental Associates, Llc 109 East Ave Cedartown GA 30125-2921 Ph: (770) 748-7736 |
| NPI Number | 1326258351 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326258351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN010447 (Georgia) | Primary |
Coosa Dental Sleep Therapy Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 East Ave, Cedartown, GA 30125 Phone: 770-748-7736 | |
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