Organization
FRANK F SUNSTROM DDS & JON L SUNSTROM DDS P.C.
Active
Parent organization
NONE
Other names
none
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
DR. JON L SUNSTROM DDS (PRESIDENT)
(515) 432-4223
Entity
Organization
Contact information
Practice address
708 8TH ST, BOONE, IA 50036-2726
(515) 432-4223
(515) 432-1054
Mailing address
708 8TH ST, BOONE, IA 50036-2726
(515) 432-4223
(515) 432-1054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6579
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841404910
—
IA
Enumeration date
06/02/2008
Last updated
06/02/2008
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