Individual
DR. TYSON JOHN GUNDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
245 E PARK ST, BUTTE, MT 59701-1829
(406) 494-7058
(406) 782-5812
Mailing address
245 E PARK ST, BUTTE, MT 59701-1829
(406) 494-7058
(406) 782-5812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-7806
MT
Other
Enumeration date
06/25/2014
Last updated
06/08/2015
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