Organization
ROBERT L CUNNINGHAM DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L CUNNINGHAM DDS (DOCTOR DENTISTS)
(208) 726-3457
Entity
Organization
Contact information
Practice address
120 SECOND AVE, SUITE 202, KETCHUM, ID 83340
(208) 726-3457
(208) 726-3494
Mailing address
PO BOX 419, KETCHUM, ID 83340-0419
(208) 726-3457
(208) 726-3494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3298
ID
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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