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Individual

DR. STANLEY CHARLES BUNSICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
106 4 SEASONS SHOPPING CTR, SUITE108, CHESTERFIELD, MO 63017-3173
(314) 469-0964
(314) 469-6080
Mailing address
106 4 SEASONS SHOPPING CTR, SUITE108, CHESTERFIELD, MO 63017-3173
(314) 469-0964
(314) 469-6080

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
MO D12484
MO

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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