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Individual

DR. THOMAS ALAN BUNNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9417 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-9259
(260) 480-4800
Mailing address
9417 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-9259
(260) 486-4800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008775A
IN

Other

Enumeration date
04/03/2007
Last updated
09/04/2020
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