Kenneth K. Chan, Dds, A Professional Corporation

NPI 1043406853 - Clinic/Center - 261QD0000X

NPI Details
NPI 1043406853
Enumeration Date 09/15/2007
Last Updated 09/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH KA KENNETH
Position DENTIST
Phone (626) 799-8068
Fax (626) 799-8069
Practice Location
1315 FAIR OAKS AVE
SUITE 103
SOUTH PASADENA CA, 91030-3868, US
Phone (626) 799-8068
Fax (626) 799-8069
Business Location
1315 FAIR OAKS AVE
SUITE 103
SOUTH PASADENA CA, 91030-3868, US
Phone (626) 799-8068
Fax (626) 799-8069
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
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According to our database, Kenneth K. Chan, Dds, A Professional Corporation NPI is 1043406853, taxonomy code is 261QD0000X Kenneth K. Chan, Dds, A Professional Corporation physically located at 1315 Fair Oaks Ave, South Pasadena CA, 91030-3868. NPI Number 1033115704 has the healthcare provider type.

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1043406853 NPI number is provided on an as is basis without warranty of any kind. 1043406853 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth K. Chan, Dds, A Professional Corporation are for informational purposes only.