# GUNDERSEN DENTAL CARE

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

## Provider details

- **NPI number:** 1124172150
- **Authorized official:** ROSE GUNDERSEN (FINANCIAL MANAGER)
- **Authorized official phone:** (360) 352-2781

## Contact information

- **Practice address:** 115 CLEVELAND AVE SE, TUMWATER, WA 98501-7718
- **Practice address phone:** (360) 352-2781
- **Mailing address:** 115 CLEVELAND AVE SE, TUMWATER, WA 98501-7718
- **Mailing address phone:** (360) 352-2781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8494 | WA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020