Individual
DAVID CUNDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 N BUTLER AVE, FARMINGTON, NM 87401-6331
(505) 333-8635
(505) 258-4909
Mailing address
1700 N BUTLER AVE, FARMINGTON, NM 87401-6331
(505) 333-8635
(505) 258-4909
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD4059
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27077748
—
NM
Enumeration date
08/14/2010
Last updated
07/01/2015
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