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Organization
T KIRKLAND DDS PC
Active
Organization
T KIRKLAND DDS PC
Active
Other names
AnyDay Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS Z KIRKLAND (PRESIDENT)
(775) 738-9666
Entity
Organization
Contact information
Practice address
12721 MORENO BEACH DR, MORENO VALLEY, CA 92555-4411
(909) 843-9171
Mailing address
2575 N 5TH ST, ELKO, NV 89801-5092
(775) 738-9666
(775) 738-6815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62179
CA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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