Provider Demographics
NPI:1356422018
Name:ZEARFOSS, PATRICIA KUNZ (DDS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KUNZ
Last Name:ZEARFOSS
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 1:317 S ST HWY 46
Mailing Address - Street 2:
Mailing Address - City:SEQUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155
Mailing Address - Country:US
Mailing Address - Phone:830-379-8902
Mailing Address - Fax:830-379-9280
Practice Address - Street 1:317 S ST HWY 46
Practice Address - Street 2:
Practice Address - City:SEQUIN
Practice Address - State:TX
Practice Address - Zip Code:78155
Practice Address - Country:US
Practice Address - Phone:830-379-8902
Practice Address - Fax:830-379-9280
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice