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Individual

DR. CHARLES KENDRICK BUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. M. D.

Contact information

Practice address
1030 MULBERRY ST, LOUISVILLE, KY 40217-1253
(270) 766-9865
Mailing address
1030 MULBERRY ST, LOUISVILLE, KY 40217-1253
(270) 766-9865

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9814
KY

Other

Enumeration date
07/04/2016
Last updated
07/04/2016
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