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Organization

JERRY L KRONQUIST SUNSET DENTAL GROUP INC

Active
Other names
SUNSET DENTAL GROUP INC.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JERRY LEE KRONQUIST (OFFICE MANAGER)
(171) 454-7667
Entity
Organization

Contact information

Practice address
1906 N BROADWAY, SANTA ANA, CA 92706-2610
(714) 547-6671
(714) 547-4385
Mailing address
1906 N BROADWAY, SANTA ANA, CA 92706-2610
(714) 547-6671
(714) 547-4385

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30388
CA
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/09/2008
Last updated
08/11/2022
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