Blake Kunimoto, DDS
NPI #1205056207 in Springfield, Illinois
Provider Information
- NPI Number
- 1205056207
- Entity Type
- Individual
- Name
- Blake Kunimoto, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3124 MONTVALE DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6937
- Phone
- (217) 546-8777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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