Provider Demographics
NPI:1124270129
Name:RICHARD Y. KUNIHIRA, D.D.S., INC.
Entity type:Organization
Organization Name:RICHARD Y. KUNIHIRA, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNIHIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-985-5117
Mailing Address - Street 1:360 E 7TH ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6701
Mailing Address - Country:US
Mailing Address - Phone:909-985-5117
Mailing Address - Fax:
Practice Address - Street 1:360 E 7TH ST
Practice Address - Street 2:SUITE J
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6701
Practice Address - Country:US
Practice Address - Phone:909-985-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA348641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB3486401OtherDENTI-CAL