Provider Demographics
NPI:1952857542
Name:KRAMER AND NGUYEN DENTAL CORPORATION
Entity Type:Organization
Organization Name:KRAMER AND NGUYEN DENTAL CORPORATION
Other - Org Name:RIVERSIDE PLAZA DENTISTRY DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-228-9576
Mailing Address - Street 1:17000 RED HILL AVENUE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614
Mailing Address - Country:US
Mailing Address - Phone:951-228-9576
Mailing Address - Fax:951-905-1457
Practice Address - Street 1:3602 RIVERSIDE PLAZA DR
Practice Address - Street 2:STE 101
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506
Practice Address - Country:US
Practice Address - Phone:951-228-9576
Practice Address - Fax:951-905-1457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty