Individual
MR. RICHARD WILLIAM BRUNTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2850 CURVE CREST BLVD W, STILLWATER, MN 55082-4079
(651) 351-1010
(651) 351-9333
Mailing address
15270 PAINTERS LANE CIR N, STILLWATER, MN 55082-1642
(651) 436-4145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4482
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MN10762
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33714200
—
WI
Enumeration date
10/17/2005
Last updated
07/09/2007
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