Larry Kunkle, Dds, Apc

NPI 1023215712 - Dentist - 1223G0001X

NPI Details
NPI 1023215712
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY LARRY
Position PRACTITONER
Phone (760) 564-0955
Fax
Practice Location
78640 HIGHWAY 111
LA QUINTA CA, 92253-2048, US
Phone (760) 564-0955
Fax
Business Location
78670 HIGHWAY 111
PMB 215
LA QUINTA CA, 92253-2048, US
Phone (760) 564-0955
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 23336
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According to our database, Larry Kunkle, Dds, Apc NPI is 1023215712, taxonomy code is 1223G0001X and license number is 23336, license state is located at California. Larry Kunkle, Dds, Apc physically located at 78640 Highway 111, La Quinta CA, 92253-2048. NPI Number 1033115704 has the healthcare provider type.

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1023215712 NPI number is provided on an as is basis without warranty of any kind. 1023215712 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Kunkle, Dds, Apc are for informational purposes only.