# GREGGORY A KINZER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700966991
- **Gender:** Man
- **Credential:** DDS MSD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DE00008164 | WA | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 04/23/2013