| NPI | 1215895859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DIRK BUNKER Owner/Provider 360-831-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-01-13 |