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Dr. Jerry Lee Kronquist, DDS
Oral and Maxillofacial Surgery (Dentist) in Santa Ana, California
NPI 1114132636

Jerry Lee Kronquist is a Oral and Maxillofacial Surgery (Dentist) based in Santa Ana, CA and is specialized in Oral and Maxillofacial Surgery. Jerry Lee Kronquist practices in Santa Ana, CA and has the professional credentials of DDS. The NPI Number for Jerry Lee Kronquist is 1114132636 and holds a License No. 30388 (California).

The current practice location address for Jerry Lee Kronquist is 1906 N . Broadway, Santa Ana, CA and can be reached out via phone at 714-547-6671 and via fax at 714-547-4385.

Location: 1906 N . Broadway, Santa Ana, CA, 92706-2610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114132636
Provider Name
Jerry Lee Kronquist
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1906 N . Broadway, Santa Ana, CA, 92706-2610
Phone Number
714-547-6671
Fax Number
714-547-4385
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1906 N . Broadway
City
Santa Ana
State
California
Zip
92706-2610
Phone Number
714-547-6671
Fax Number
714-547-4385
person
Provider Business Mailing Address Details
Address
1906 N . Broadway
City
Santa Ana
State
California
Zip
92706-2610
Phone Number
714-547-6671
Fax Number
714-547-4385
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30388 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
30388 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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