| Travis Kinser Dds Msd Inc | |
|
30131 Town Center Dr Ste 196 Laguna Niguel CA 92677-2040 | |
| (949) 363-3350 | |
| Not Available |
| Full Name | Travis Kinser Dds Msd Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30131 Town Center Dr Ste 196, Laguna Niguel, California |
| Authorized Official Name and Position | Travis Kinser (OWNER DOCTOR) |
| Authorized Official Contact | 9493633350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Kinser Dds Msd Inc 30131 Town Center Dr Ste 196 Laguna Niguel CA 92677-2040 Ph: (949) 363-3350 | Travis Kinser Dds Msd Inc 30131 Town Center Dr Ste 196 Laguna Niguel CA 92677-2040 Ph: (949) 363-3350 |
| NPI Number | 1104699487 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104699487 | NPI | - | NPPES |
| 1851926596 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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