Baokou Bungard-Thao

NPI #1609480011 in Great Falls, Montana

Provider Information

NPI Number: 1609480011
Entity Type: Individual
Name: Baokou Bungard-Thao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Sep 2, 2020
Last Updated: Sep 2, 2020

Practice Location

Address: 7300 N PERIMETER RD
City: Great Falls
State: Montana
ZIP Code: 59402-6701
Phone: (406) 731-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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