Dr. Lee Gus Dunker

NPI #1306301072 in Madison, Indiana

Provider Information

NPI Number: 1306301072
Entity Type: Organization
Organization Name: Dr. Lee Gus Dunker
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 6, 2019
Last Updated: Feb 6, 2019

Practice Location

Address: 424 WEST ST
City: Madison
State: Indiana
ZIP Code: 47250-3302
Phone: (812) 265-2832

Authorized Official

Name: MRS. SUE ANN DUNKER
Title: OWNER
Phone: (812) 265-2832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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