Individual
KEITH EDWARD BUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
575 W PIKE ST, STE 19B, LAWRENCEVILLE, GA 30045
(770) 277-9700
(770) 277-4064
Mailing address
300 E LONG LAKE, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1119
(248) 223-0052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011331
GA
Other
Enumeration date
03/27/2007
Last updated
01/03/2024
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