| Healthy Smile Family Dentistry | |
|
1315 Fair Oaks Ave Suite 103 South Pasadena CA 91030-3868 | |
| (626) 799-8068 | |
| (626) 799-8069 |
| Full Name | Healthy Smile Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1315 Fair Oaks Ave, South Pasadena, California |
| Authorized Official Name and Position | Kenneth Ka Chan (DENTIST) |
| Authorized Official Contact | 6267998068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smile Family Dentistry 1315 Fair Oaks Ave Suite 103 South Pasadena CA 91030-3868 Ph: (626) 799-8068 | Healthy Smile Family Dentistry 1315 Fair Oaks Ave Suite 103 South Pasadena CA 91030-3868 Ph: (626) 799-8068 |
| NPI Number | 1043406853 |
|---|---|
| Provider Enumeration Date | 09/15/2007 |
| Last Update Date | 09/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043406853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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