Healthcare Provider Details

I. General information

NPI: 1699089938
Provider Name (Legal Business Name): ALAN MURRAY KUEHN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55557 CAMPUS ROAD
THERMAL CA
92274-0000
US

IV. Provider business mailing address

PO BOX 883
BORREGO SPRINGS CA
92004-0883
US

V. Phone/Fax

Practice location:
  • Phone: 760-399-4526
  • Fax: 760-399-4421
Mailing address:
  • Phone: 760-767-0557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number59140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: