Individual
ISAAC BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1234 E 300 S, PLEASANT GROVE, UT 84062-3202
(303) 961-4841
Mailing address
1234 E 300 S, PLEASANT GROVE, UT 84062-3202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL15300
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13766591-9926
UT
Other
Enumeration date
07/21/2022
Last updated
08/08/2024
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