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Individual

DR. STEPHEN L KREIZENBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
39-935 VISTA DEL SOL, SUITE 100, RANCHO MIRAGE, CA 92270
(760) 837-1515
(760) 837-1011
Mailing address
39-935 VISTA DEL SOL, SUITE 100, RANCHO MIRAGE, CA 92270
(760) 837-1515
(760) 837-1011

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40456
CA

Other

Enumeration date
06/30/2005
Last updated
10/06/2020
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