| Kenneth D. Greenstadt D.d.s., Inc. | |
|
3565 Torrance Blvd Suite B Torrance CA 90503-4847 | |
| (310) 792-6262 | |
| Not Available |
| Full Name | Kenneth D. Greenstadt D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3565 Torrance Blvd, Torrance, California |
| Authorized Official Name and Position | Kenneth Douglas Greenstadt (OWNER) |
| Authorized Official Contact | 3107926262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth D. Greenstadt D.d.s., Inc. 3565 Torrance Blvd Suite B Torrance CA 90503-4847 Ph: (310) 792-6262 | Kenneth D. Greenstadt D.d.s., Inc. 3565 Torrance Blvd Suite B Torrance CA 90503-4847 Ph: (310) 792-6262 |
| NPI Number | 1821494386 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821494386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24300 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24300 (California) | Secondary |
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