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Benjamin Buntrock, DMD
NPI 1023372265 · on the registry since 2012
Practice
- Address
- 1106 W River Rd
Detroit Lakes, MN 56501 - Phone
- (218) 846-1900
- Organisation at this address
- John R Jordan Dds Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota