Kriewaldt, Matthew B
Kriewaldt, Matthew B is an individual health care provider with primary practice located at 2310 Craven St Bldg 3230 , San Diego CA 92136-5596. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kriewaldt, Matthew B can be contacted via phone (619) 701-3900.Contact Information
Primary practice address
2310 Craven St Bldg 3230
San Diego CA 92136-5596
Phone: (619) 701-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6903-15 | Wisconsin |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 55521 | California |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401413701 | Virginia |
Profile Details
NPI number | 1336298058 |
---|---|
LBN Legal business name | Kriewaldt, Matthew B |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Aug 5th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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