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Dr. FREDERICK LYLE BUNCH -- D.D.S., M.S.

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1912910589
Provider Type
Individual Provider (NPI-1)
Credentials
D.D.S., M.S.
Status
Active

Contact & Location

Address
756 PORTER AVE SUITE 400, STOCKTON, CA, 952074232
Phone
(209) 951-6387
Fax
(209) 951-2824

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary License: CA #21974

All Addresses

MAILING

756 PORTER AVE SUITE 400

STOCKTON, CA, 952074232

(209) 951-6387

LOCATION

756 PORTER AVE SUITE 400

STOCKTON, CA, 952074232

(209) 951-6387