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General NPI Number Information
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NPI Number | 1821494386
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Entity Type | Organization
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Legal Business Name | KENNETH D. GREENSTADT D.D.S., INC.
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 3565 TORRANCE BLVD SUITE B
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City | TORRANCE
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State | CA
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Zip | 90503-4847
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Country | US
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Telephone | 310-792-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 3565 TORRANCE BLVD SUITE B
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City | TORRANCE
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State | CA
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Zip | 90503-4847
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Country | US
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Telephone | 310-792-6262
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH DOUGLAS GREENSTADT
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Credential | DDS
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Telephone | 310-792-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 24300
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 24300
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License Number State | CA
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