Individual
LAURA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SYLVAN ST, PEABODY, MA 01960-1606
(978) 330-7115
Mailing address
63 BLOSSOM RD, WINDHAM, NH 03087-1536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858039
MA
1223G0001X
General Practice Dentistry
1858039
MA
1223G0001X
General Practice Dentistry
DN1858039
MA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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