Kriewaldt, Matthew B

Kriewaldt, Matthew B is an individual health care provider with primary practice located at 2310 Craven St Bldg 3230 , San Diego CA 92136-5596. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kriewaldt, Matthew B can be contacted via phone (619) 701-3900.

Contact Information

Primary practice address
2310 Craven St Bldg 3230 San Diego CA 92136-5596
Phone: (619) 701-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6903-15 Wisconsin
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 55521 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401413701 Virginia

Profile Details

NPI number 1336298058
LBN Legal business name Kriewaldt, Matthew B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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