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Organization
KEVIN B. DORSEY DDS INC., A PROFESSIONAL CORPORATION
Active
Organization
KEVIN B. DORSEY DDS INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BRENT DORSEY DDS (OWNER)
(213) 500-1152
Entity
Organization
Contact information
Practice address
3512 E FLORENCE AVE STE 204, HUNTINGTON PARK, CA 90255-5900
(323) 589-8507
(323) 589-4154
Mailing address
3512 E FLORENCE AVE STE 204, HUNTINGTON PARK, CA 90255-5900
(323) 589-8507
(323) 589-4154
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
37976
CA
Other
Enumeration date
02/10/2018
Last updated
12/09/2021
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