Provider Demographics
NPI:1699089938
Name:KUEHN, ALAN MURRAY (DDS)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:MURRAY
Last Name:KUEHN
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:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:BORREGO SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92004-0883
Mailing Address - Country:US
Mailing Address - Phone:760-767-0557
Mailing Address - Fax:
Practice Address - Street 1:55557 CAMPUS ROAD
Practice Address - Street 2:
Practice Address - City:THERMAL
Practice Address - State:CA
Practice Address - Zip Code:92274-0000
Practice Address - Country:US
Practice Address - Phone:760-399-4526
Practice Address - Fax:760-399-4421
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59140122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist