Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 36744 | CA |
NPI | 1013092295 |
---|---|
Provider Name | Dr. Robert M. Cuenin |
First Address | Danville, CA 94526-1744 |
Second Address | Danville, CA 94526-1744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |