| Brenton Bundrick, Dds, Pllc | |
|
7204 E Marshville Blvd Marshville NC 28103-1191 | |
| (704) 981-1664 | |
| Not Available |
| Full Name | Brenton Bundrick, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7204 E Marshville Blvd, Marshville, North Carolina |
| Authorized Official Name and Position | Brenton Bundrick (MANAGER) |
| Authorized Official Contact | 7049603909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenton Bundrick, Dds, Pllc 7204 E Marshville Blvd Marshville NC 28103-1191 Ph: (704) 981-1664 | Brenton Bundrick, Dds, Pllc 7204 E Marshville Blvd Marshville NC 28103-1191 Ph: (704) 981-1664 |
| NPI Number | 1548724669 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548724669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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