Individual
DR. THOMAS BRIAN RUNDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2427 NORTHGATE ST, OTTUMWA, IA 52501-1117
(641) 684-4889
Mailing address
2427 NORTHGATE ST, OTTUMWA, IA 52501-1117
(641) 684-4889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07939
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173666
—
IA
Enumeration date
03/19/2007
Last updated
07/08/2007
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