Provider Demographics
NPI:1093998304
Name:KESSLER & RESNICK DENTAL DESIGN
Entity Type:Organization
Organization Name:KESSLER & RESNICK DENTAL DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-706-6077
Mailing Address - Street 1:28632 ROADSIDE DR
Mailing Address - Street 2:STE 270B
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-6064
Mailing Address - Country:US
Mailing Address - Phone:818-706-6077
Mailing Address - Fax:818-706-6090
Practice Address - Street 1:28632 ROADSIDE DR
Practice Address - Street 2:STE 270B
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-6064
Practice Address - Country:US
Practice Address - Phone:818-706-6077
Practice Address - Fax:818-706-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental