Individual
DR. TERRY L CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1902 N MAIN ST, MISHAWAKA, IN 46545-5614
(574) 259-1563
(574) 259-1536
Mailing address
1902 N MAIN ST, MISHAWAKA, IN 46545-5614
(574) 259-1563
(574) 259-1536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007846A
IN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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