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Organization
MAK AND KLEIGER, D.D.S.
Active
Organization
MAK AND KLEIGER, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH B MAK D.D.S. (OWNER/DENTIST)
(626) 793-6175
Entity
Organization
Contact information
Practice address
959 E WALNUT ST STE 216, PASADENA, CA 91106-5362
(626) 793-6175
(626) 793-9317
Mailing address
959 E WALNUT ST STE 216, PASADENA, CA 91106-5362
(626) 793-6175
(626) 793-9317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11440191
CA
1223P0300X
Periodontics
11440191
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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