Kenneth J Pearson Dds Inc | |
31648 Rancho Viejo Rd #c Sjc CA 92675 | |
(949) 496-2930 | |
(949) 496-2962 |
Full Name | Kenneth J Pearson Dds Inc |
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Speciality | Dentist |
Location | 31648 Rancho Viejo Rd #c, Sjc, California |
Authorized Official Name and Position | Kenneth John Pearson (PRESIDENT) |
Authorized Official Contact | 9494962930 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth J Pearson Dds Inc 31648 Rancho Viejo Rd #c Sjc CA 92675 Ph: (949) 496-2930 | Kenneth J Pearson Dds Inc 31648 Rancho Viejo Rd #c Sjc CA 92675 Ph: (949) 496-2930 |
NPI Number | 1114033222 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1114033222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 31683 (California) | Primary |