Provider Demographics
NPI:1053178137
Name:KEVIN KUNIYOSHI, D.D.S., P.L.L.C.
Entity type:Organization
Organization Name:KEVIN KUNIYOSHI, D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNIYOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-516-1540
Mailing Address - Street 1:145 MEDICAL PARK LN STE L
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6663
Mailing Address - Country:US
Mailing Address - Phone:828-516-1540
Mailing Address - Fax:828-516-1541
Practice Address - Street 1:145 MEDICAL PARK LN STE L
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6663
Practice Address - Country:US
Practice Address - Phone:828-516-1540
Practice Address - Fax:828-516-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental