Provider Demographics
NPI:1144046160
Name:ZUNIGA, DARIO (DD)
Entity type:Individual
Prefix:MR
First Name:DARIO
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:DD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 RAWLINS WAY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-9185
Mailing Address - Country:US
Mailing Address - Phone:919-381-0466
Mailing Address - Fax:
Practice Address - Street 1:1103 MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4752
Practice Address - Country:US
Practice Address - Phone:406-782-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Single Specialty