Individual
HEATHER STEPHANIE KUNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
555 E FORDHAM RD, BRONX, NY 10458-5046
(347) 801-8888
Mailing address
555 E FORDHAM RD, BRONX, NY 10458-5046
(347) 801-8888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059152
NY STATE DENTAL LICENSE
NY
Enumeration date
07/15/2018
Last updated
07/15/2018
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