| NPI | 1023215712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KUNKLE Practitoner 760-564-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23336) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |