Organization
MICHAEL KUNKEL DDS PROFESSIONAL LLC
Active
Other names
Oral and Facial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KUNKEL D.D.S. (MANAGING MEMBER)
(719) 264-6070
Entity
Organization
Contact information
Practice address
3475 BRIARGATE BLVD, SUITE 102, COLORADO SPRINGS, CO 80920-4170
(719) 264-6070
(719) 264-6090
Mailing address
3475 BRIARGATE BLVD, SUITE 102, COLORADO SPRINGS, CO 80920-4170
(719) 264-6070
(719) 264-6090
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00201943
CO
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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