Provider Demographics
NPI:1144386186
Name:SINERI, KIMBER LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIMBER
Middle Name:LEE
Last Name:SINERI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W KERN AVE
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:CA
Mailing Address - Zip Code:93250-1354
Mailing Address - Country:US
Mailing Address - Phone:661-792-3028
Mailing Address - Fax:661-792-3564
Practice Address - Street 1:501 W KERN AVE
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:CA
Practice Address - Zip Code:93250-1354
Practice Address - Country:US
Practice Address - Phone:661-792-3028
Practice Address - Fax:661-792-3564
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice