Individual
ANDREA KIRSCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 COLORADO BLVD STE 263, EAGLE ROCK, CA 90041-1048
(323) 987-2175
Mailing address
2700 COLORADO BLVD STE 263, EAGLE ROCK, CA 90041-1048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100722
CA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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