Individual
KRISTINA L BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
750 GEORGE WASHINGTON WAY, SUITE 2, RICHLAND, WA 99352-4247
(509) 946-1678
(509) 946-7500
Mailing address
750 GEORGE WASHINGTON WAY, SUITE 2, RICHLAND, WA 99352-4247
(509) 946-1678
(509) 946-7500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219274
BCBS VIRGINIA
WA
05
—
5010491
—
WA
01
—
9993
DELTA
WA
Enumeration date
12/28/2005
Last updated
07/09/2007
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