Individual
AUSTIN JOHN BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3120 PACIFIC PL SW, ALBANY, OR 97321-3568
(541) 926-6089
Mailing address
3120 PACIFIC PL SW, ALBANY, OR 97321-3568
(541) 926-6089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11772
OR
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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