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Individual
DR. GREGORY THOMAS KUNZ
Active
Individual
DR. GREGORY THOMAS KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4874
AZ
1223G0001X
General Practice Dentistry
Primary
16850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01456691
UNITED CONCORDIA INDIV#
—
01
—
1371004
UNITED CONCORDIA GP#
—
05
—
182745301
—
TX
05
—
429036
—
AZ
01
—
54038
SAFEGUARD
—
01
—
54041
SAFEGUARD
—
01
—
828432
UNITED CONCORDIA GP#
—
01
—
AZ0475180
BCBS OF AZ
AZ
Enumeration date
10/12/2006
Last updated
01/31/2018
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