# DR. RICHARD J. SUNDBERG D.D.S., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063573699
- **Authorized official:** DR. RICHARD JON SUNDBERG D.D.S. (PRESIDENT)
- **Authorized official phone:** (509) 529-3762

## Contact information

- **Practice address:** 310 S 3RD AVE, WALLA WALLA, WA 99362-3037
- **Practice address phone:** (509) 529-3762
- **Practice address fax:** (509) 529-7622
- **Mailing address:** 310 S 3RD AVE, WALLA WALLA, WA 99362-3037
- **Mailing address phone:** (509) 529-3762
- **Mailing address fax:** (509) 529-7622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE00004263 | WA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 09/25/2008