Individual
DR. KENNETH DESMOND BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9579 HIGHWAY 5 STE 701, DOUGLASVILLE, GA 30135-1574
(770) 942-2852
Mailing address
9579 HIGHWAY 5 STE 701, DOUGLASVILLE, GA 30135-1574
(770) 942-2852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014435
GA
Other
Enumeration date
07/10/2012
Last updated
09/23/2015
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