Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 32341 | CA |
NPI | 1003824491 |
---|---|
Provider Name | Dr. Steven Kunihiro |
First Address | Napa, CA 94558-2903 |
Second Address | Napa, CA 94558-2903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |