DR. Kenneth Gray Eifert, DDS

NPI #1578747655 in San Quentin, California

Provider Information

NPI Number: 1578747655
Entity Type: Individual
Name: DR. Kenneth Gray Eifert, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 24, 2007
Last Updated: Dec 24, 2007

Practice Location

Address: 1 MAIN ST
Address 2: SAN QUENTIN SP
City: San Quentin
State: California
ZIP Code: 94964
Phone: (415) 454-1460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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