Provider Demographics
NPI:1811373681
Name:KUNTUMALLA, ARUNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:
Last Name:KUNTUMALLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 VAN TEYLINGEN DR STE F
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-4872
Mailing Address - Country:US
Mailing Address - Phone:716-533-8997
Mailing Address - Fax:
Practice Address - Street 1:3585 VAN TEYLINGEN DR STE F
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-4872
Practice Address - Country:US
Practice Address - Phone:719-597-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002030531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice