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MR. CHET EDWARD BUNDY RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1811404494

Individual Registrant:
MR. CHET EDWARD BUNDY RDH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1718 N COASTAL HWY  MIDWAY, GA 31320-3415 US
Tel: 912-880-2288  Fax: --

Contact information for business:
401 N CROMWELL RD APT J7  SAVANNAH, GA 31410-3844 US
Tel: 912-657-1519  Fax: --

Registration Information:
NPI: 1811404494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
GADH012531

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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