| Kevin L. Jan, D.m.d Inc. | |
|
176 Auburn Ct Ste 3 Westlake Village CA 91362-3679 | |
| (918) 809-3768 | |
| Not Available |
| Full Name | Kevin L. Jan, D.m.d Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 176 Auburn Ct Ste 3, Westlake Village, California |
| Authorized Official Name and Position | Kevin Jan (CEO/OWNER) |
| Authorized Official Contact | 9188093768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L. Jan, D.m.d Inc. 176 Auburn Ct Ste 3 Westlake Village CA 91362-3679 Ph: (918) 809-3768 | Kevin L. Jan, D.m.d Inc. 176 Auburn Ct Ste 3 Westlake Village CA 91362-3679 Ph: (918) 809-3768 |
| NPI Number | 1679239065 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679239065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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