Provider Demographics
NPI:1972895514
Name:ARTHUR G. KAISER DDS
Entity type:Organization
Organization Name:ARTHUR G. KAISER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-854-4400
Mailing Address - Street 1:734 BEAR MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVIN
Mailing Address - State:CA
Mailing Address - Zip Code:93203
Mailing Address - Country:US
Mailing Address - Phone:661-854-4400
Mailing Address - Fax:661-854-4411
Practice Address - Street 1:734 BEAR MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:ARVIN
Practice Address - State:CA
Practice Address - Zip Code:93203
Practice Address - Country:US
Practice Address - Phone:661-854-4400
Practice Address - Fax:661-854-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB20546-09OtherDENTI-CAL