Individual
DR. KRISTA MICHELLE KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3070 N HIGHWAY 17 STE 103, MOUNT PLEASANT, SC 29466-9300
(843) 996-6796
Mailing address
3070 N HIGHWAY 17 STE 103, MOUNT PLEASANT, SC 29466-9300
(843) 996-6796
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8610
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265668248
DENTAQUEST
NM
05
—
27101754
—
NM
Enumeration date
06/04/2009
Last updated
04/10/2018
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