Organization
JOSHUA M. VAN DER BUNT, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA VAN DER BUNT DMD (OWNER)
(954) 249-8066
Entity
Organization
Contact information
Practice address
2127 S HIGHWAY 97 STE 210, REDMOND, OR 97756-2656
(954) 249-8066
Mailing address
61054 SE MARBLE MOUNTAIN LN, BEND, OR 97702-9386
(954) 249-8066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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