Provider Demographics
NPI:1356425706
Name:DUNATHAN, CLINT ARNI (DDS)
Entity type:Individual
Prefix:DR
First Name:CLINT
Middle Name:ARNI
Last Name:DUNATHAN
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 1:230 E TOWNE DR
Mailing Address - Street 2:P.O. BOX 429
Mailing Address - City:HORTONVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54944-9303
Mailing Address - Country:US
Mailing Address - Phone:920-779-4533
Mailing Address - Fax:920-779-4333
Practice Address - Street 1:230 E TOWNE DR
Practice Address - Street 2:
Practice Address - City:HORTONVILLE
Practice Address - State:WI
Practice Address - Zip Code:54944-9303
Practice Address - Country:US
Practice Address - Phone:920-779-4533
Practice Address - Fax:920-779-4333
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3293-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist