Individual
MICHAEL PATRICK CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6800 MAIN ST, SUITE 315, DOWNERS GROVE, IL 60516
(630) 969-5350
Mailing address
6800 MAIN STREET, SUITE 315, DOWNERS GROVE, IL 60516
(630) 969-5350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023311
IL
1223P0300X
Periodontics
021001963
IL
Other
Enumeration date
12/13/2006
Last updated
08/03/2021
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