Provider Demographics
NPI:1639285893
Name:CUNNING, RONALD (DDS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:CUNNING
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 1:9595 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2424
Mailing Address - Country:US
Mailing Address - Phone:909-624-9087
Mailing Address - Fax:909-621-7547
Practice Address - Street 1:9595 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2424
Practice Address - Country:US
Practice Address - Phone:909-624-9087
Practice Address - Fax:909-621-7547
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA185361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice