Healthcare Provider Details
I. General information
NPI: 1144046160
Provider Name (Legal Business Name): DARIO ZUNIGA DD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1103 MISSOURI AVE
BUTTE MT
59701-4752
US
IV. Provider business mailing address
584 RAWLINS WAY
LAFAYETTE CO
80026-9185
US
V. Phone/Fax
- Phone: 406-782-2900
- Fax:
- Phone: 919-381-0466
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122400000X |
| Taxonomy | Denturist |
| License Number | |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: