Individual
CHASE THOMAS GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
550 UNIVERSITY BLVD STE 3145, INDIANAPOLIS, IN 46202-5149
(317) 274-5315
Mailing address
868 W 4230 N, PLEASANT GROVE, UT 84062-8737
(801) 458-8226
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12014966A
IN
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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