Dmbunnpc

NPI #1124395264 in Las Vegas, Nevada

Provider Information

NPI Number: 1124395264
Entity Type: Organization
Organization Name: Dmbunnpc
Primary Specialty: Dentist
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 7373 PEAK DR
Address 2: SUITE 130
City: Las Vegas
State: Nevada
ZIP Code: 89128-9003
Phone: (702) 870-2896

Authorized Official

Name: DR. DANIEL MITCHELL BUNN, D.D.S.
Title: PRESIDENT
Phone: (702) 530-3024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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