Individual
DR. DANIEL LEE KITTLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
548 3RD ST W, SONOMA, CA 95476-6502
(707) 938-3077
Mailing address
548 3RD ST W, SONOMA, CA 95476-6502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28465
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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