Individual
DR. RANDALL A. HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
923 6TH AVE, DE WITT, IA 52742-1330
(563) 659-9500
(563) 659-9501
Mailing address
923 6TH AVE, DE WITT, IA 52742-1330
(563) 659-9500
(563) 659-9501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06566
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0911644
—
IA
Enumeration date
05/17/2007
Last updated
07/22/2008
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