Provider Demographics
NPI:1487614442
Name:KRATOFIL, STEVEN E (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:KRATOFIL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16191 KAMANA RD
Mailing Address - Street 2:STE 102
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-0834
Mailing Address - Country:US
Mailing Address - Phone:760-242-7744
Mailing Address - Fax:
Practice Address - Street 1:16191 KAMANA RD
Practice Address - Street 2:STE 102
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2125
Practice Address - Country:US
Practice Address - Phone:760-242-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA333081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice