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Dr. Frederick Lyle Bunch, DDS,MS
Oral and Maxillofacial Surgery (Dentist) in Stockton, California
NPI 1912910589

Frederick Lyle Bunch is a Oral and Maxillofacial Surgery (Dentist) based in Stockton, CA and is specialized in Oral and Maxillofacial Surgery. Frederick Lyle Bunch practices in Stockton, CA and has the professional credentials of DDS,MS. The NPI Number for Frederick Lyle Bunch is 1912910589 and holds a License No. 21974 (California).

The current practice location address for Frederick Lyle Bunch is 756 Porter Ave, Stockton, CA and can be reached out via phone at 209-951-6387 and via fax at 209-951-2824.

Location: 756 Porter Ave, Stockton, CA, 95207-4232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912910589
Provider Name
Frederick Lyle Bunch
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
756 Porter Ave, Stockton, CA, 95207-4232
Phone Number
209-951-6387
Fax Number
209-951-2824
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B2197401 05 CA
institution
Provider Business Practice Location Address Details
Address
756 Porter Ave
City
Stockton
State
California
Zip
95207-4232
Phone Number
209-951-6387
Fax Number
209-951-2824
person
Provider Business Mailing Address Details
Address
756 Porter Ave
City
Stockton
State
California
Zip
95207-4232
Phone Number
209-951-6387
Fax Number
209-951-2824
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
21974 (California)
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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