Organization
HUNSAKER DENTAL
Active
Parent organization
HUNSAKER DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUNSAKER DENTAL
Authorized official
BENJAMIN LARSON HUNSAKER D.M.D. (DENTIST/OWNER)
(503) 448-2555
Entity
Organization
Contact information
Practice address
180 MAIN ST, AUMSVILLE, OR 97325-9806
(503) 448-2555
Mailing address
PO BOX 1095, AUMSVILLE, OR 97325-1095
(503) 448-2555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6671
OR
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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