Individual
DR. ANDREA ELAINE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
620 MALABAR RD SE, SUITE 3, PALM BAY, FL 32907
(321) 722-2688
(321) 722-2433
Mailing address
620 MALABAR RD SE, SUITE 3, PALM BAY, FL 32907
(321) 722-2688
(321) 722-2433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15547
FL
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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