| NPI | 1982368841 |
|---|---|
| Doing Business As | BUNN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SAMSON LIU Owner 217-821-7960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |