Organization Name: | KESSLER & RESNICK DENTAL DESIGN |
NPI Number: | 1093998304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARREN ADAM KESSLER (DENTIST) |
Mailing Address: | 28632 Roadside Dr Ste 270b Agoura Hills |
State: | CA US |
Postal Code: | 913016064 |
Phone Number: | 8187066077 |
Fax Number: | 8187066090 |
NPI Enumeration Date: | 12/10/2007 |
NPI Last Update Date: | 12/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |