Individual provider · Type 1 NPI

Richard Jon Sundberg, DDS

Oral and Maxillofacial Surgery (Dentist) · Walla Walla, WA

NPI number 1124295514 Active

Practice location

310 S 3rd Ave
Walla Walla, WA 99362-3037

Fax (509) 529-7622

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00004263 (WA)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1124295514

Richard Jon Sundberg, DDS's National Provider Identifier is 1124295514, issued on May 14, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Walla Walla, WA. The record was last updated on May 14, 2008.