| Kenneth W. Malone, Dds, Pc | |
|
44439 17th St West #102 Lancaster CA 93534 | |
| (661) 945-4040 | |
| (661) 945-9120 |
| Full Name | Kenneth W. Malone, Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 44439 17th St West #102, Lancaster, California |
| Authorized Official Name and Position | Kenneth Warren Malone (PRESIDENT/SURGEON) |
| Authorized Official Contact | 6619454040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W. Malone, Dds, Pc 44439 17th St West #102 Lancaster CA 93534 Ph: (661) 945-4040 | Kenneth W. Malone, Dds, Pc 44439 17th St West #102 Lancaster CA 93534 Ph: (661) 945-4040 |
| NPI Number | 1578576914 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578576914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 25591 (California) | Primary |
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