| The Kilzi Dental Corp | |
|
1113 S Main St # B Corona CA 92882-4412 | |
| (951) 739-0752 | |
| Not Available |
| Full Name | The Kilzi Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1113 S Main St, Corona, California |
| Authorized Official Name and Position | Michael Kilzi (PRESIDENT) |
| Authorized Official Contact | 9517390752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kilzi Dental Corp 1113 S Main St # B Corona CA 92882 Ph: (951) 739-0752 | The Kilzi Dental Corp 1113 S Main St # B Corona CA 92882-4412 Ph: (951) 739-0752 |
| NPI Number | 1083803506 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083803506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38068 (California) | Primary |
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