Dr. Richard J. Sundberg D.d.s., P.s.

NPI 1063573699 - Dentist - 1223S0112X

NPI Details
NPI 1063573699
Enumeration Date 12/13/2006
Last Updated 09/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD JON RICHARD
Position PRESIDENT
Phone (509) 529-3762
Fax (509) 529-7622
Practice Location
310 S 3RD AVE
WALLA WALLA WA, 99362-3037, US
Phone (509) 529-3762
Fax (509) 529-7622
Business Location
310 S 3RD AVE
WALLA WALLA WA, 99362-3037, US
Phone (509) 529-3762
Fax (509) 529-7622
Toxanomy
Taxonomy Code 1223S0112X
License State Washington
License Number DE00004263
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According to our database, Dr. Richard J. Sundberg D.d.s., P.s. NPI is 1063573699, taxonomy code is 1223S0112X and license number is DE00004263, license state is located at Washington. Dr. Richard J. Sundberg D.d.s., P.s. physically located at 310 S 3rd Ave, Walla Walla WA, 99362-3037. NPI Number 1033115704 has the healthcare provider type.

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1063573699 NPI number is provided on an as is basis without warranty of any kind. 1063573699 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Richard J. Sundberg D.d.s., P.s. are for informational purposes only.