NPI 1023256542
Jared Andrew Kroll, DA
Practice location
- Address
- 1406 N Azusa Ave STE C, Covina, CA 91722-1257
- Phone
- (626) 858-9940
- Fax
- (626) 858-9366
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1023256542
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jan 2009
- Record last updated
- 22 Jan 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.