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DR. BRANDON GAGE COLEMAN DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1548451917

Individual Registrant:
DR. BRANDON GAGE COLEMAN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
BLDG 38717 38TH STREET USA DENTAC FT GORDON, GA 30905-5660 US
Tel: 706-787-6927  Fax: 706-787-2082

Contact information for business:
BLDG 38717 38TH STREET USA DENTAC FT GORDON, GA 30905-5660 US
Tel: 706-787-6927  Fax: 706-787-2082

Registration Information:
NPI: 1548451917
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
TX23249

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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