| Amanda Rae Kronquist Dds Inc | |
|
1906 N Broadway Santa Ana CA 92706-2610 | |
| (714) 547-6671 | |
| Not Available |
| Full Name | Amanda Rae Kronquist Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1906 N Broadway, Santa Ana, California |
| Authorized Official Name and Position | Amanda Rae Kronquist (PRESIDENT) |
| Authorized Official Contact | 7145476671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rae Kronquist Dds Inc 1906 N Broadway Santa Ana CA 92706-2610 Ph: (714) 547-6671 | Amanda Rae Kronquist Dds Inc 1906 N Broadway Santa Ana CA 92706-2610 Ph: (714) 547-6671 |
| NPI Number | 1780053280 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780053280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64750 (California) | Primary |
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