Organization
CHAUNCEY L. CONNER DDS LLC
Active
Other names
Conner Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYDEE SALGUERO (OFFICE ADMINISTRATOR)
(678) 354-0079
Entity
Organization
Contact information
Practice address
1200 BARRETT PKWY, SUITE 13, KENNESAW, GA 30144-7557
(678) 354-0079
(678) 354-0062
Mailing address
1200 BARRETT PARKWAY, SUITE 13, KENNESAW, GA 30144
(678) 354-0079
(678) 354-0062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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