Individual
DR. PATRICK KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D
Contact information
Practice address
641 W 9000 S, SANDY, UT 84070-2580
(385) 900-5200
Mailing address
826 SPRING MILL LN, INDIANAPOLIS, IN 46260-3535
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
-12012388A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10796726-9921
UT
Other
Enumeration date
07/19/2018
Last updated
07/27/2022
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