Organization
MICHAEL J. KUNZLER DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY KUNZLER DMD (OWNER)
(307) 786-4500
Entity
Organization
Contact information
Practice address
2822 HIGHWAY 414, LYMAN, WY 82937-9140
(307) 786-4500
(307) 786-4649
Mailing address
2822 HIGHWAY 414, LYMAN, WY 82937-9140
(307) 786-4500
(307) 786-4649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1116
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120147600
—
WY
05
—
144552900
—
WY
Enumeration date
03/24/2017
Last updated
03/24/2017
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