Individual
DR. DAVID SCOTT DUNIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
1120 S STATE ROUTE 157 STE 102, EDWARDSVILLE, IL 62025-3614
(618) 655-1580
(618) 655-1581
Mailing address
1120 S STATE ROUTE 157 STE 102, EDWARDSVILLE, IL 62025-3614
(618) 655-1580
(618) 655-1581
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021-002115
IL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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