Jared Andrew Kroll
Dental Assistant
1406 N Azusa Ave Ste C
Covina
, California 91722-1257
Jared Andrew Kroll
Dental Assistant
1406 N Azusa Ave Ste C
Covina
, California 91722-1257
(626) 858-9366
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jared Andrew Kroll
- 1406 N Azusa Ave Ste C
- Covina, CA
- Zip : 91722-1257
- Fax : (626) 858-9366
- Phone : (626) 858-9940
Second Address
- Jared Andrew Kroll
- 1406 N Azusa Ave Ste C
- Covina, CA
- Zip : 91722-1257
- Fax : (626) 858-9366
- Phone : (626) 858-9940
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FAQs
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Is Jared Andrew Kroll a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1023256542 |
|---|---|
| Provider Name | Jared Andrew Kroll |
| First Address | Covina, CA 91722-1257 |
| Second Address | Covina, CA 91722-1257 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2009 |
| Last Update Date | 22/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.