John S Kishibay, DMD
NPI #1255425609 in Santa Monica, California
Provider Information
- NPI Number
- 1255425609
- Entity Type
- Individual
- Name
- John S Kishibay, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DMD
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 2601 OCEAN PARK BLVD
- Address 2
- 304
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-5210
- Phone
- (310) 581-5757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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