Individual
MR. CHET EDWARD BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1718 N COASTAL HWY, MIDWAY, GA 31320-3415
(912) 880-2288
Mailing address
401 N CROMWELL RD APT J7, SAVANNAH, GA 31410-3844
(912) 657-1519
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012531
GA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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