Provider Demographics
NPI:1609962281
Name:DA CUNHA, PAUL YIANNAKIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:YIANNAKIS
Last Name:DA CUNHA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 HILLIARD ROAD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4525
Mailing Address - Country:US
Mailing Address - Phone:804-262-9563
Mailing Address - Fax:804-261-2194
Practice Address - Street 1:2301 HILLIARD ROAD
Practice Address - Street 2:SUITE 8
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-4525
Practice Address - Country:US
Practice Address - Phone:804-262-9563
Practice Address - Fax:804-261-2194
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014111251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice