Individual
DR. MATTHEW ALLYN BUNCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
338 30TH ST, TYACK DENTAL GROUP, ASTORIA, OR 97103
(503) 338-6000
Mailing address
469 LEXINGTON AVE, ASTORIA, OR 97103
(503) 325-3129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8741
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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