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Organization
HERBERT H J KINNARD, DDS, INC.
Active
Organization
HERBERT H J KINNARD, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARDNER LEONARD BEALE (CEO)
(310) 487-3727
Entity
Organization
Contact information
Practice address
8930 S. SEPULVEDA BLVD., SUITE 205, LOS ANGELES, CA 90045
(310) 649-4600
Mailing address
8930 S. SEPULVEDA BLVD., SUITE 205, LOS ANGELES, CA 90045
(310) 649-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
06/15/2012
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