| Jonathan N. Kristianto, DDS Inc. | |
|
1556 N Main St Salinas CA 93906-5101 | |
| (831) 444-0882 | |
| Not Available |
| Full Name | Jonathan N. Kristianto, DDS Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1556 N Main St, Salinas, California |
| Authorized Official Name and Position | Tina Kristianto (MANAGER) |
| Authorized Official Contact | 8314440882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan N. Kristianto, DDS Inc. 1556 N Main St Salinas CA 93906-5101 Ph: (831) 444-0882 | Jonathan N. Kristianto, DDS Inc. 1556 N Main St Salinas CA 93906-5101 Ph: (831) 444-0882 |
| NPI Number | 1679744239 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679744239 | NPI | - | NPPES |
| B37441-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CA37441 (California) | Primary |
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