DR. Tyson John Gundersen, DMD

NPI #1821403130 in Butte, Montana

Provider Information

NPI Number
1821403130
Entity Type
Individual
Name
DR. Tyson John Gundersen, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 25, 2014
Last Updated
Jun 8, 2015

Practice Location

Address
245 E PARK ST
City
Butte
State
Montana
ZIP Code
59701-1829
Phone
(406) 494-7058

Specialties & Taxonomy Codes

Specialty
Dentist

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