Organization
ANDREW T. KUNSTMAN D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW THOMAS KUNSTMAN D.D.S. (OWNER)
(520) 458-5611
Entity
Organization
Contact information
Practice address
1989 FRONTAGE RD, SIERRA VISTA, AZ 85635-4698
(520) 458-5611
(520) 458-8995
Mailing address
1989 FRONTAGE RD, SIERRA VISTA, AZ 85635-4698
(520) 458-5611
(520) 458-8995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094582
—
AZ
01
—
631015
UNITED CONCORDIA
AZ
Enumeration date
01/16/2012
Last updated
01/16/2012
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