Individual
DR. GADIA KUMUNJUN PEABODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2201 S GETTY ST, MUSKEGON, MI 49444-1207
(231) 767-9830
(231) 737-1808
Mailing address
2201 S GETTY ST, MUSKEGON, MI 49444-1207
(231) 767-9830
(231) 737-1808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019026130
IL
1223P0700X
Prosthodontics
Primary
2901011507
MI
1223P0700X
Prosthodontics
63907
CA
Other
Enumeration date
04/24/2007
Last updated
12/06/2016
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