Provider Demographics
NPI:1215018395
Name:DRS DUNN & DUNN
Entity Type:Organization
Organization Name:DRS DUNN & DUNN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:MR
Authorized Official - First Name:HEBER
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-659-5011
Mailing Address - Street 1:PO BOX 1788
Mailing Address - Street 2:
Mailing Address - City:IDYLLWILD
Mailing Address - State:CA
Mailing Address - Zip Code:92549
Mailing Address - Country:US
Mailing Address - Phone:951-659-0511
Mailing Address - Fax:951-659-1922
Practice Address - Street 1:54805 NO CIRCLE DRIVE
Practice Address - Street 2:
Practice Address - City:IDYLLWILD
Practice Address - State:CA
Practice Address - Zip Code:92549
Practice Address - Country:US
Practice Address - Phone:951-659-0511
Practice Address - Fax:951-659-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty