Individual
CHANVATTANAK BUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 24TH ST, BAKERSFIELD, CA 93301-2300
(714) 599-4393
Mailing address
2600 NOBLE AVE, BAKERSFIELD, CA 93306-2637
(714) 599-4393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105599
CA
Other
Enumeration date
09/28/2020
Last updated
01/06/2021
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