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Organization
JOSEPH M KENT DDS INC.
Active
Organization
JOSEPH M KENT DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MAUGHAN KENT D.D.S. (PRESIDENT)
(760) 379-3625
Entity
Organization
Contact information
Practice address
6421 LYNCH CANYON DRIVE, LAKE ISABELLA, CA 93240
(760) 379-3625
(760) 230-9165
Mailing address
P.O. BOX 186, LAKE ISABELLA, CA 93240
(760) 379-3625
(760) 230-9165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B25919
DENTAL LIC
CA
Enumeration date
03/07/2014
Last updated
11/08/2019
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