Provider Demographics
NPI:1477229862
Name:KUEHL, LINDSAY ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANNE
Last Name:KUEHL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N PACIFIC COAST HWY STE 100-A
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2840
Mailing Address - Country:US
Mailing Address - Phone:310-469-9353
Mailing Address - Fax:
Practice Address - Street 1:415 N PACIFIC COAST HWY STE 100-A
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-2840
Practice Address - Country:US
Practice Address - Phone:310-469-9353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1088321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice