Andrew T. Kunstman D.d.s. Pc | |
1989 Frontage Rd Sierra Vista AZ 85635-4698 | |
(520) 458-5611 | |
(520) 458-8995 |
Full Name | Andrew T. Kunstman D.d.s. Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1989 Frontage Rd, Sierra Vista, Arizona |
Authorized Official Name and Position | Andrew Thomas Kunstman (OWNER) |
Authorized Official Contact | 5204585611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Andrew T. Kunstman D.d.s. Pc 1989 Frontage Rd Sierra Vista AZ 85635-4698 Ph: (520) 458-5611 | Andrew T. Kunstman D.d.s. Pc 1989 Frontage Rd Sierra Vista AZ 85635-4698 Ph: (520) 458-5611 |
NPI Number | 1487925988 |
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Provider Enumeration Date | 01/16/2012 |
Last Update Date | 01/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487925988 | NPI | - | NPPES |
631015 | Other | AZ | UNITED CONCORDIA |
094582 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 003996 (Arizona) | Primary |
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