Individual
DR. JEFFREY SUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1508 DOCTORS CT, WATERTOWN, WI 53094-4102
(920) 261-1566
(920) 261-5537
Mailing address
713 MAPLE CREST LN, WATERTOWN, WI 53094-6015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001409
WI
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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