Organization
KIERIAN B. KUKLOK, MD, DDS, INC.
Active
Other names
Carmel Mountain Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KIERIAN BRIAN KUKLOK M.D. (OWNER)
(858) 484-6418
Entity
Organization
Contact information
Practice address
9912 CARMEL MOUNTAIN RD STE A, SAN DIEGO, CA 92129-2808
(858) 484-6418
(858) 484-6318
Mailing address
9912 CARMEL MOUNTAIN RD STE A, SAN DIEGO, CA 92129-2808
(858) 484-6418
(858) 484-6318
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS29
CA
174400000X
Specialist
Primary
A68737
CA
Other
Enumeration date
05/14/2007
Last updated
09/11/2025
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