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Organization
KEVIN BARRETT DDS INC
Active
Organization
KEVIN BARRETT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEVIN BARRETT (DOCTOR/OWNER)
(310) 820-4952
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 802, LOS ANGELES, CA 90049-5012
(310) 820-4952
(310) 820-2296
Mailing address
11980 SAN VICENTE BLVD, SUITE 802, LOS ANGELES, CA 90049-5012
(310) 820-4952
(310) 820-2296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27228
CA
Other
Enumeration date
01/12/2017
Last updated
05/01/2017
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