Individual
DR. TIMOTHY COOPER KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
5550 FRIENDSHIP BLVD STE 250, CHEVY CHASE, MD 20815-7296
(301) 652-8555
(301) 215-7578
Mailing address
5550 FRIENDSHIP BLVD STE 250, CHEVY CHASE, MD 20815-7296
(301) 652-8555
(301) 215-7578
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16300
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1001836
DC
Other
Enumeration date
03/12/2012
Last updated
06/14/2018
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