Chanda Monee' Gordon DDS

NPI 1891899050 - Dentist - 122300000X

NPI Details
NPI 1891899050
Gender Female
Enumeration Date 09/11/2006
Last Updated 04/14/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
5626 FULTON INDUSTRIAL BLVD.
SUITE 110
ATLANTA GA, 30336, US
Phone (404) 550-4905
Fax
Business Location
7644 COLE LANE
ATLANTA GA, 30349, US
Phone (404) 550-4905
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 011655
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According to our database, Dr. Chanda Monee' Gordon DDS NPI is 1891899050, taxonomy code is 122300000X and license number is 011655, license state is located at Georgia. Chanda Monee' Gordon DDS physically located at 5626 Fulton Industrial Blvd., Atlanta GA, 30336. NPI Number Chanda Monee' Gordon DDS has the Individual type.

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1891899050 NPI number is provided on an as is basis without warranty of any kind. 1891899050 is maintained by the National Plan & Provider Enumeration System. The contents of Chanda Monee' Gordon DDS are for informational purposes only.