Provider Demographics
NPI:1770863151
Name:KUMAR AND STROMBERG DENTAL CORPORATION
Entity Type:Organization
Organization Name:KUMAR AND STROMBERG DENTAL CORPORATION
Other - Org Name:MY KIDS DENTIST AND ORTHODONTICS DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:Z
Authorized Official - Last Name:STROMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-947-5435
Mailing Address - Street 1:2860 MICHELLE FL 2
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1008
Mailing Address - Country:US
Mailing Address - Phone:760-947-5435
Mailing Address - Fax:760-949-2459
Practice Address - Street 1:12821 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-9127
Practice Address - Country:US
Practice Address - Phone:760-947-5435
Practice Address - Fax:760-949-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty