Organization
BRENTON BUNDRICK, DDS, PLLC
Active
Other names
Marshville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTON BUNDRICK (MANAGER)
(704) 960-3909
Entity
Organization
Contact information
Practice address
7204 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1191
(704) 981-1664
Mailing address
7204 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1191
(704) 981-1664
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
09/13/2019
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