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1912910589
FREDERICK LYLE BUNCH
STOCKTON, CA
NPI
1912910589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 21974)
Enumeration Date
2006-08-14
Last Update Date
2007-07-09
Business Address
Dr. FREDERICK LYLE BUNCH D.D.S., M.S.
756 PORTER AVE SUITE 400
STOCKTON, CA 95207-4232
Phone number: 209-951-6387
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Mailing Address
Dr. FREDERICK LYLE BUNCH D.D.S., M.S.
756 PORTER AVE SUITE 400
STOCKTON, CA 95207-4232
Phone number: 209-951-6387
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