Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 10426 | MN |
N | 1223X0400X | Orthodontists | 5841-015 | WI |
N | 1223X0400X | Orthodontists | DT-2139 | HI |
NPI | 1023169265 |
---|---|
Provider Name | Dr. Curtis Roy Dunn |
First Address | Woodbury, MN 55125-9454 |
Second Address | Woodbury, MN 55125-9454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 08/07/2007 |