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Organization
JONATHAN N. KRISTIANTO, DDS INC.
Active
Organization
JONATHAN N. KRISTIANTO, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA KRISTIANTO (MANAGER)
(831) 444-0882
Entity
Organization
Contact information
Practice address
1556 N MAIN ST, SALINAS, CA 93906-5101
(831) 444-0882
Mailing address
1556 N MAIN ST, SALINAS, CA 93906-5101
(831) 444-0882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA37441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B37441-01
DENTI-CAL
CA
Enumeration date
03/21/2008
Last updated
03/21/2008
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