| Ken Dental Inc | |
|
4236 El Cajon Blvd San Diego CA 92105-1230 | |
| (619) 584-4015 | |
| (619) 584-4016 |
| Full Name | Ken Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4236 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Nghi Phung Truong (PRESIDENT) |
| Authorized Official Contact | 6195844015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Dental Inc 4236 El Cajon Blvd San Diego CA 92105-1230 Ph: (619) 584-4015 | Ken Dental Inc 4236 El Cajon Blvd San Diego CA 92105-1230 Ph: (619) 584-4015 |
| NPI Number | 1730653437 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730653437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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