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1891714135
MARK A BRUNNER
AUGUSTA, GA
NPI
1891714135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: GA 12499)
Enumeration Date
2006-07-18
Last Update Date
2017-10-19
Business Address
Dr. MARK A BRUNNER DDS
1430 JOHN WESLEY GILBERT DR. GC-1333
AUGUSTA, GA 30327-3007
Phone number: 706-721-2442
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Mailing Address
Dr. MARK A BRUNNER DDS
4200 NORTHSIDE PKWY NW BUILDING 5
ATLANTA, GA 30327-3007
Phone number: 404-352-3123
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