Individual
ROBERT C WUNDERLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-2114
(770) 977-0364
(678) 483-8487
Mailing address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-2114
(770) 977-0364
(678) 483-8487
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014699
GA
Other
Enumeration date
06/29/2010
Last updated
07/23/2015
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