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Individual
DR. MARCIE ANN HANSEN-BUNCH
Active
Individual
DR. MARCIE ANN HANSEN-BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165686002
—
TX
05
—
165686003
—
TX
Enumeration date
08/03/2006
Last updated
05/31/2016
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