DR. Gerald P. Runde, D.D.S.

NPI #1790771673 in Teutopolis, Illinois

Provider Information

NPI Number: 1790771673
Entity Type: Individual
Name: DR. Gerald P. Runde, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 26, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 206 N. PEARL ST.
City: Teutopolis
State: Illinois
ZIP Code: 62467-0215
Phone: (217) 857-3201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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