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Individual
DR. GADIA KUMUNJUN PEABODY
Active
Individual
DR. GADIA KUMUNJUN PEABODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019026130
IL
1223P0700X
Prosthodontics
Primary
2901011507
MI
1223P0700X
Prosthodontics
63907
CA
Other
Enumeration date
04/24/2007
Last updated
12/06/2016
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