Individual provider · Type 1 NPI

Frederick Lyle Bunch, DDS, M.S.

Oral and Maxillofacial Surgery (Dentist) · Stockton, CA

NPI number 1912910589 Active

Practice location

756 Porter Ave, Suite 400
Stockton, CA 95207-4232

Fax (209) 951-2824

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X21974 (CA)

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 1912910589

Frederick Lyle Bunch, DDS, M.S.'s National Provider Identifier is 1912910589, issued on Aug 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Stockton, CA. The record was last updated on Jul 9, 2007.