Individual
DR. PATRICE BERNADINE WUNSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M. S.
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 827-2698
(410) 448-6883
Mailing address
3019 COVE VIEW LN, MIDLOTHIAN, VA 23112-4384
(410) 446-4593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411957
VA
1223P0221X
Pediatric Dentistry
12942
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000143100
—
MD
Enumeration date
02/22/2007
Last updated
04/05/2012
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