| NPI | 1437366184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALVIN CUNNING Owner Dentist 9096-240-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 18536) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |