Organization
DAVID KUTNER A DENTAL CORP
Active
Other names
american family dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KUTNER DMD (PRESIDENT)
(626) 442-4582
Entity
Organization
Contact information
Practice address
695 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3812
(909) 881-2545
Mailing address
695 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3812
(909) 881-2545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174714547
—
CA
Enumeration date
12/01/2008
Last updated
12/01/2008
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