Provider Demographics
NPI:1891557294
Name:KINARD DMD INC.
Entity Type:Organization
Organization Name:KINARD DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:805-665-3925
Mailing Address - Street 1:801 S VICTORIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5371
Mailing Address - Country:US
Mailing Address - Phone:805-665-3925
Mailing Address - Fax:805-665-3926
Practice Address - Street 1:801 S VICTORIA AVE STE 201
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5371
Practice Address - Country:US
Practice Address - Phone:805-665-3925
Practice Address - Fax:805-665-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental