Individual
ANIL P. KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8160
(707) 465-4636
(707) 465-6070
Mailing address
670 9TH STREET, SUITE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61989
CA
1223G0001X
General Practice Dentistry
AC5385578-R612
NC
Other
Enumeration date
05/05/2010
Last updated
10/22/2015
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