# PETER G. KUENZLI, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649485541
- **Authorized official:** DR. PETER GILLEN KUENZLI DDS (PRESIDENT OF CORPORATION)
- **Authorized official phone:** (757) 490-9300

## Contact information

- **Practice address:** 4876 PRINCESS ANNE RD, SUITE \#111, VIRGINIA BEACH, VA 23462-4447
- **Practice address phone:** (757) 490-9300
- **Practice address fax:** (757) 490-9871
- **Mailing address:** 3637 KINGS LAKE DR, VIRGINIA BEACH, VA 23452-4604
- **Mailing address phone:** (757) 486-2119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401007122 | VA | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 08/22/2020