Individual
BRAD W SUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7044 LEE HIGHWAY, CHATTANOOGA, TN 37421-1730
(423) 894-0650
(423) 894-0720
Mailing address
7044 LEE HIGHWAY, CHATTANOOGA, TN 37421-1730
(423) 894-0650
(423) 894-0720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS7688
TN
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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