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Organization
THE KILZI DENTAL CORP
Active
Organization
THE KILZI DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KILZI DDS (PRESIDENT)
(951) 739-0752
Entity
Organization
Contact information
Practice address
1113 S MAIN ST, # B, CORONA, CA 92882-4412
(951) 739-0752
Mailing address
1113 S MAIN ST, # B, CORONA, CA 92882
(951) 739-0752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38068
CA
Other
Enumeration date
10/22/2007
Last updated
05/18/2021
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