| NPI | 1326258351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRADFORD GANDY Dentist 770-748-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010447) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-19 |