Kronquist, Jerry Lee

Kronquist, Jerry Lee is an sole proprietor health care provider with primary practice located at 1906 N . Broadway , Santa Ana CA 92706-2610. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kronquist, Jerry Lee 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: (714) 547-4385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30388 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30388 California

Profile Details

NPI number 1114132636
LBN Legal business name Kronquist, Jerry Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
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.

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