NPI 1154371342

Keith A. Wunsch, DDS

Practitioner Prosthodontics Fort Meade, MD

Practice location

Address: 8472 Simmond St, Fort Meade, MD 20755-5700
Phone: (301) 677-7971
Fax: (301) 677-6678
Mailing address: 6348 Daring Prince Way, Columbia, MD 21044-6040

Registered specialties

Prosthodontics Primary

Dental Providers Taxonomy 1223P0700X Licence 013956 (MO)

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Registry record

NPI: 1154371342
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.