Organization
KENNETH D. GREENSTADT D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DOUGLAS GREENSTADT DDS (OWNER)
(310) 792-6262
Entity
Organization
Contact information
Practice address
3565 TORRANCE BLVD, SUITE B, TORRANCE, CA 90503-4847
(310) 792-6262
Mailing address
3565 TORRANCE BLVD, SUITE B, TORRANCE, CA 90503-4847
(310) 792-6262
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24300
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24300
CA
Other
Enumeration date
11/11/2014
Last updated
11/12/2014
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