Provider Demographics
NPI:1730163585
Name:NUNEZ, DAVID WILLS (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLS
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:1214 DIXIELAND RD., STE 4
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78566
Mailing Address - Country:US
Mailing Address - Phone:903-818-5685
Mailing Address - Fax:
Practice Address - Street 1:1214 DIXIELAND RD STE 4
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-3314
Practice Address - Country:US
Practice Address - Phone:903-818-5685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164471223P0106X, 1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology