Provider Demographics
NPI:1356442685
Name:DUNN, ALVIN MILTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:MILTON
Last Name:DUNN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20115 US HIGHWAY 18
Mailing Address - Street 2:STE. C
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2933
Mailing Address - Country:US
Mailing Address - Phone:760-242-8881
Mailing Address - Fax:760-242-1382
Practice Address - Street 1:20115 US HIGHWAY 18
Practice Address - Street 2:STE. C
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2933
Practice Address - Country:US
Practice Address - Phone:760-242-8881
Practice Address - Fax:760-242-1382
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA249321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice