Organization
TRAVIS KINSER DDS MSD INC
Active
Other names
Kinser Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS KINSER DDS, MSD (OWNER DOCTOR)
(949) 363-3350
Entity
Organization
Contact information
Practice address
30131 TOWN CENTER DR STE 196, LAGUNA NIGUEL, CA 92677-2040
(949) 363-3350
Mailing address
30131 TOWN CENTER DR STE 196, LAGUNA NIGUEL, CA 92677-2040
(949) 363-3350
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851926596
—
CA
Enumeration date
10/30/2023
Last updated
12/07/2023
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