Organization
BRAD W SUNDSTROM DMD
Active
Other names
Chattanooga Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY WALKER SUNDSTROM DMD (OWNER)
(423) 894-0650
Entity
Organization
Contact information
Practice address
7044 LEE HWY, CHATTANOOGA, TN 37421-1730
(423) 894-0650
(423) 894-0720
Mailing address
7044 LEE HWY, CHATTANOOGA, TN 37421-1730
(423) 894-0650
(423) 894-0720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D53493
TN
122300000X
Dentist
Primary
D57688
TN
Other
Enumeration date
02/05/2007
Last updated
10/30/2008
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