=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972895514
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARTHUR G. KAISER DDS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/13/2011
-----------------------------------------------------
Last Update Date | 04/17/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 734 BEAR MOUNTAIN BLVD
-----------------------------------------------------
City | ARVIN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-854-4400
-----------------------------------------------------
Fax | 661-854-4411
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 734 BEAR MOUNTAIN BLVD
-----------------------------------------------------
City | ARVIN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-854-4400
-----------------------------------------------------
Fax | 661-854-4411
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MRS. LUPE RODRIQUEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 661-854-4400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------