Individual
GARY LEE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5 LAUREL CT., WASHINGTON, IL 61571
(309) 688-7321
(309) 688-7942
Mailing address
5 LAUREL CT., WASHINGTON, IL 61616
(309) 688-7321
(309) 688-7942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01915685
IL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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