Eldon Leon Bunn, DDS
Dentist in Leesburg, FL. Individual provider (NPI-1).
NPI number1164535621
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164535621
- Entity type
- Individual (NPI-1)
- Name
- Eldon Leon Bunn
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN7086 | FL | Yes |
| 122300000X | Dentist | 4620 | NE |
Practice location
8305 Cr44 Leg-ALeesburg, FL 34788-3706
Phone 352-728-4066 · Fax 352-728-2816
Mailing address
8305 Cr44 Leg-ALeesburg, FL 34788-3706
Phone 352-728-4066 · Fax 352-728-2816
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