DR. KENNETH CHAN, D.D.S.
Dentist
Active
Individual
NPI: 1811079106
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 47857 (CA) |
Frequently Asked Questions
NPI 1811079106 is the National Provider Identifier for DR. KENNETH CHAN, D.D.S., a Dentist provider located in South Pasadena, CA. This NPI was enumerated on October 19, 2006.
DR. KENNETH CHAN, D.D.S. practices at 1315 FAIR OAKS AVE STE 103, South Pasadena, CA 91030.
Quick Facts
- NPI
- 1811079106
- Type
- Individual
- Enumerated
- Oct 19, 2006
- Last Updated
- Jul 8, 2007
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