Kronquist, Amanda Rae

Kronquist, Amanda Rae is an individual health care provider with primary practice located at 1906 N Broadway , Santa Ana CA 92706-2610. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Kronquist, Amanda Rae can be contacted via phone (714) 547-6671.

Contact Information

Primary practice address
1906 N Broadway Santa Ana CA 92706-2610
Phone: (714) 547-6671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 64750 California
Dental Providers / Dentist 122300000X 64750 California

Profile Details

NPI number 1245609734
LBN Legal business name Kronquist, Amanda Rae
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Aug 11th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245609734 NPPES
California Other 64750 DENTAL BOARD OF CALIFORNIA DENTAL LICENSE

Popular Providers