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Individual

ANNA J KUNZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3050 MARTIN LUTHER KING JR DR SW STE A, ATLANTA, GA 30311-1500
(404) 696-3163
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009069
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379314906A
GA
05
9180171
GA
Enumeration date
02/26/2006
Last updated
12/28/2010
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