Individual
DR. RICHARD WAYNE GRUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 NINTH AVENUE, DURANT, IA 52747-0066
(563) 785-4541
(563) 785-4687
Mailing address
2634 100TH ST, WILTON, IA 52778-9550
(563) 732-4024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7031
IA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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