| Kensington Dental Group | |
|
4142 Adams Ave Suite 104 San Diego CA 92116-2508 | |
| (619) 326-0157 | |
| (619) 326-0152 |
| Full Name | Kensington Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4142 Adams Ave, San Diego, California |
| Authorized Official Name and Position | Minh B Pham (OWNER DOCTOR) |
| Authorized Official Contact | 6193260157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kensington Dental Group 17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8890 | Kensington Dental Group 4142 Adams Ave Suite 104 San Diego CA 92116-2508 Ph: (619) 326-0157 |
| NPI Number | 1417359969 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417359969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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