Individual
DR. KALEIGH MORGAN BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
116 HOMER RD, MINDEN, LA 71055-2732
(318) 377-9411
Mailing address
234 PEREGRINE WAY, BOSSIER CITY, LA 71112-2556
(318) 464-0475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7302
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7302
STATE LICENSE
LA
Enumeration date
05/26/2022
Last updated
05/26/2022
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