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Organization
MDG-KITTO DENTAL PC
Active
Organization
MDG-KITTO DENTAL PC
Active
Other names
Kitto Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COLE MCWHORTER (CEO)
(801) 592-4360
Entity
Organization
Contact information
Practice address
937 E MAIN ST STE 105, SANTA MARIA, CA 93454-5309
(805) 922-4109
Mailing address
937 E MAIN ST STE 105, SANTA MARIA, CA 93454-5309
(805) 922-4109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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