DR. Broc Gundersen, DMD

NPI #1407262215 in Quincy, Washington

Provider Information

NPI Number: 1407262215
Entity Type: Individual
Name: DR. Broc Gundersen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 2, 2014
Last Updated: Sep 5, 2014

Practice Location

Address: 1450 1ST AVE SW
City: Quincy
State: Washington
ZIP Code: 98848-1695
Phone: (509) 787-0715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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