MRS. Jody Lynn Buntjer, RDH

NPI #1639807183 in Rockford, Illinois

Provider Information

NPI Number: 1639807183
Entity Type: Individual
Name: MRS. Jody Lynn Buntjer, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Aug 11, 2022
Last Updated: Aug 11, 2022

Practice Location

Address: 3957 N MULFORD RD STE A
City: Rockford
State: Illinois
ZIP Code: 61114-8004
Phone: (815) 637-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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Organizations

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