Organization
KUNZMAN & ASSOCIATES INC. DBA GB DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLI JACQUEZ (OFFICE MANAGER)
(970) 339-9770
Entity
Organization
Contact information
Practice address
1910 56TH AVE, GREELEY, CO 80634-2945
(970) 339-9770
(970) 339-9748
Mailing address
1910 56TH AVE, GREELEY, CO 80634-2945
(970) 339-9770
(970) 339-9748
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063065738
—
CO
05
—
1710298294
—
CO
Enumeration date
08/14/2019
Last updated
12/11/2020
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