Organization
CUNNINGTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H CUNNINGTON DDS (DENTIST)
(208) 467-3000
Entity
Organization
Contact information
Practice address
355 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-3000
(208) 463-1400
Mailing address
355 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-3000
(208) 463-1400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3270
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805504100
—
ID
Enumeration date
06/03/2008
Last updated
06/03/2008
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