institution
Dr. Richard J. Sundberg D.d.s., P.s.
Oral and Maxillofacial Surgery (Dentist) in Walla Walla, Washington
NPI 1063573699

Dr. Richard J. Sundberg D.d.s., P.s. is a Oral and Maxillofacial Surgery (Dentist) based in Walla Walla, WA and is specialized in Oral and Maxillofacial Surgery. Dr. Richard J. Sundberg D.d.s., P.s. practices in Walla Walla, WA. The NPI Number for Dr. Richard J. Sundberg D.d.s., P.s. is 1063573699 and holds a License No. DE00004263 (Washington).

The current practice location address for Dr. Richard J. Sundberg D.d.s., P.s. is 310 S 3Rd Ave, Walla Walla, WA and can be reached out via phone at 509-529-3762 and via fax at 509-529-7622.

Location: 310 S 3Rd Ave, Walla Walla, WA, 99362-3037
institution
Provider Profile Details
NPI Number
1063573699
Provider Name
Dr. Richard J. Sundberg D.d.s., P.s.
Credential
Provider Entity Type
Organization
Address
310 S 3Rd Ave, Walla Walla, WA, 99362-3037
Phone Number
509-529-3762
Fax Number
509-529-7622
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5347000 05 WA
0028263 01 WA STATE LABOR & INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
310 S 3Rd Ave
City
State
Zip
99362-3037
Phone Number
509-529-3762
Fax Number
509-529-7622
person
Provider Business Mailing Address Details
Address
310 S 3Rd Ave
City
State
Zip
99362-3037
Phone Number
509-529-3762
Fax Number
509-529-7622
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DE00004263 (Washington)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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