Individual
FRED B DUNKELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
570 W LANIER AVENUE, BLDG #2, FAYETTEVILLE, GA 30214
(678) 836-2103
(678) 829-0271
Mailing address
79 SMOKERISE POINT, PEACHTREE CITY, GA 30269
(770) 632-1630
(770) 632-1625
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN010953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00634763
—
GA
Enumeration date
09/27/2006
Last updated
07/08/2007
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