Individual
DR. KAITLYN BUMBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1111 E 6TH ST, WASHINGTON, MO 63090-3308
(636) 239-6328
Mailing address
1111 E 6TH ST, WASHINGTON, MO 63090-3308
(636) 239-6328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020033202
MO
Other
Enumeration date
10/29/2020
Last updated
01/11/2022
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