Individual
DR. CHAUNCEY L CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 ERNEST W BARRETT PKWY NW STE 13, KENNESAW, GA 30144-4543
(678) 354-0079
Mailing address
1200 ERNEST W BARRETT PKWY NW STE 13, KENNESAW, GA 30144-4543
(678) 354-0079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012872
GA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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