| General Dentistry For Children: Dental Group Of Kleinsasser Dental Cor | |
|
1430 E Main St Ste 203 Santa Maria CA 93454-4832 | |
| (805) 922-3530 | |
| (805) 928-4776 |
| Full Name | General Dentistry For Children: Dental Group Of Kleinsasser Dental Cor |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1430 E Main St Ste 203, Santa Maria, California |
| Authorized Official Name and Position | Rick J. Kleinsasser (OWNER/PARTNER) |
| Authorized Official Contact | 8059223530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Dentistry For Children: Dental Group Of Kleinsasser Dental Cor 1430 E Main St Ste 203 Santa Maria CA 93454-4832 Ph: (805) 922-3530 | General Dentistry For Children: Dental Group Of Kleinsasser Dental Cor 1430 E Main St Ste 203 Santa Maria CA 93454-4832 Ph: (805) 922-3530 |
| NPI Number | 1588672695 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588672695 | NPI | - | NPPES |
| 810275 | Other | CA | UNITED CONCORDIA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29330 (California) | Primary |
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