Provider Demographics
NPI:1821003369
Name:PAUKUNE, KIM ARLENE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:ARLENE
Last Name:PAUKUNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KIM
Other - Middle Name:ARLENE
Other - Last Name:VANEPPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:801 N WILMOT
Mailing Address - Street 2:SUITE D1
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-747-0017
Mailing Address - Fax:520-747-0048
Practice Address - Street 1:801 N WILMOT
Practice Address - Street 2:SUITE D1
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711
Practice Address - Country:US
Practice Address - Phone:520-747-0017
Practice Address - Fax:520-747-0048
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ5192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist