Individual
HEIDI J KUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6958 NEBRASKA AVE, 1608, FT LEONARD WD, MO 65473-1618
(573) 596-0411
(573) 596-0410
Mailing address
6958 NEBRASKA AVE, 1608, FT LEONARD WD, MO 65473-1618
(573) 596-0411
(573) 596-0410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0127751
VT
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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