| Robert L Cunningham Dds Pllc | |
|
120 Second Ave Suite 202 Ketchum ID 83340 | |
| (208) 726-3457 | |
| (208) 726-3494 |
| Full Name | Robert L Cunningham Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 120 Second Ave, Ketchum, Idaho |
| Authorized Official Name and Position | Robert L Cunningham (DOCTOR DENTISTS) |
| Authorized Official Contact | 2087263457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Cunningham Dds Pllc Po Box 419 Ketchum ID 83340-0419 Ph: (208) 726-3457 | Robert L Cunningham Dds Pllc 120 Second Ave Suite 202 Ketchum ID 83340 Ph: (208) 726-3457 |
| NPI Number | 1306037007 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306037007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3298 (Idaho) | Primary |
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