Individual
DR. LAUREN VICTORIA GUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
635 E BOSWELL ST, BATESVILLE, AR 72501-4608
(870) 698-1837
Mailing address
1012 E BOSWELL ST UNIT B, BATESVILLE, AR 72501-5727
(870) 612-7177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4440
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440
ARKANSAS STATE BOARD OF DENTAL EXAMINERS
AR
Enumeration date
07/14/2020
Last updated
07/14/2020
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