Individual
DR. KENNETH J ERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7101 HOFF ST, FORT BENNING, GA 31905-5645
(706) 544-4547
Mailing address
8016 ORCHARD HILL DR, MIDLAND, GA 31820-4272
(706) 562-9121
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN011859
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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