Organization
BALDWIN PARK DENTAL
Active
Other names
David Kutner a dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KUTNER DMD (PRESIDENT)
(626) 442-4582
Entity
Organization
Contact information
Practice address
13734 RAMONA BLVD, BALDWIN PARK, CA 91706-4021
(626) 960-6616
(626) 337-0047
Mailing address
13734 RAMONA BLVD, BALDWIN PARK, CA 91706-4021
(626) 960-6616
(626) 337-0047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174714547
—
CA
Enumeration date
11/26/2008
Last updated
11/26/2008
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