| Organization Name: | FRANK F SUNSTROM DDS & JON L SUNSTROM DDS P.C. |
| NPI Number: | 1043479421 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON L SUNSTROM (PRESIDENT) |
| Mailing Address: | 708 8th St Boone |
| State: | IA US |
| Postal Code: | 500362726 |
| Phone Number: | 5154324223 |
| Fax Number: | 5154321054 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 6579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |