Montejo-Kadera, Constanza

Montejo-Kadera, Constanza is an individual health care provider with primary practice located at 3110 Kerner Blvd , San Rafael CA 94901-5411. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Montejo-Kadera, Constanza can be contacted via phone (415) 526-8559.

Contact Information

Primary practice address
3110 Kerner Blvd San Rafael CA 94901-5411
Fax: (415) 526-8556
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 54018 California

Profile Details

NPI number 1992846430
LBN Legal business name Montejo-Kadera, Constanza
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Apr 1st, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992846430 NPPES
California Other 54018 DENTIST

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