Individual
DR. DAVID FLETCHER GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
12 VIRGINIA TER, MADISON, WI 53726-5338
(608) 443-8986
Mailing address
12 VIRGINIA TER, MADISON, WI 53726-5338
(608) 443-8986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6712-15
WI
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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