| Joshua M. Van Der Bunt, Dmd, Llc | |
|
2127 S Highway 97 Ste 210 Redmond OR 97756-2656 | |
| (954) 249-8066 | |
| Not Available |
| Full Name | Joshua M. Van Der Bunt, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2127 S Highway 97 Ste 210, Redmond, Oregon |
| Authorized Official Name and Position | Joshua Van Der Bunt (OWNER) |
| Authorized Official Contact | 9542498066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua M. Van Der Bunt, Dmd, Llc 61054 Se Marble Mountain Ln Bend OR 97702-9386 Ph: (954) 249-8066 | Joshua M. Van Der Bunt, Dmd, Llc 2127 S Highway 97 Ste 210 Redmond OR 97756-2656 Ph: (954) 249-8066 |
| NPI Number | 1104491521 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104491521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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