Individual
DR. PAUL RANDOLPH DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2116 HINKLE ST SE, ALBUQUERQUE, NM 87102-4930
(505) 843-7493
Mailing address
8436 GREENARBOR RD NE, ALBUQUERQUE, NM 87122-2600
(505) 238-9602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14923
TX
1223G0001X
General Practice Dentistry
Primary
DD1812
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084916
—
NM
Enumeration date
10/30/2005
Last updated
07/08/2007
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