DR. Kelly Leigh Bumgarner, DDS

NPI #1033372230 in Alexandria, Minnesota

Provider Information

NPI Number: 1033372230
Entity Type: Individual
Name: DR. Kelly Leigh Bumgarner, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 8, 2008
Last Updated: Jul 8, 2008

Practice Location

Address: 2633 JEFFERSON STREET
Address 2: SUITE 801
City: Alexandria
State: Minnesota
ZIP Code: 56308
Phone: (320) 762-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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