Robert Willard Kettlewell D.D.S.

NPI 1083746895 - Dentist - 1223G0001X

NPI Details
NPI 1083746895
Gender Male
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3142 VISTA WAY
#305
OCEANSIDE CA, 92056-3619, US
Phone (760) 722-1416
Fax (760) 722-2230
Business Location
3142 VISTA WAY
#305
OCEANSIDE CA, 92056-3619, US
Phone (760) 722-1416
Fax (760) 722-2230
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 40629
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According to our database, Dr. Robert Willard Kettlewell D.D.S. NPI is 1083746895, taxonomy code is 1223G0001X and license number is 40629, license state is located at California. Robert Willard Kettlewell D.D.S. physically located at 3142 Vista Way, Oceanside CA, 92056-3619. NPI Number Robert Willard Kettlewell D.D.S. has the Individual type.

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1083746895 NPI number is provided on an as is basis without warranty of any kind. 1083746895 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Willard Kettlewell D.D.S. are for informational purposes only.