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Individual

DR. DUNYA ANTWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
520 W VISTA WAY, VISTA, CA 92083-5704
(760) 941-1906
(760) 941-1906
Mailing address
520 W. VISTA WAY, VISTA, CA 92083
(760) 941-1906
(760) 941-1907

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55683
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D55683
CA
Enumeration date
05/22/2007
Last updated
03/17/2018
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