Individual
BRYCE DUNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 235-5503
Mailing address
450 N KOELLER ST, OSHKOSH, WI 54902-4111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002109
WI
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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