Individual
CONSTANZA MONTEJO-KADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(415) 526-8559
(415) 526-8556
Mailing address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(415) 526-8559
(415) 526-8556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54018
DENTIST
CA
Enumeration date
02/09/2007
Last updated
04/01/2016
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