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Organization

K WHELAN DDS INC

Active
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Organization

K WHELAN DDS INC

Active
Other names
Beach Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH WHELAN DDS (OWNER)
(949) 395-1479
Entity
Organization

Contact information

Practice address
18700 MAIN ST STE 208, HUNTINGTON BEACH, CA 92648-1714
(714) 465-5391
(714) 465-5391
Mailing address
118 19TH ST, HUNTINGTON BEACH, CA 92648-3921
(949) 395-1479

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47583
CA

Other

Enumeration date
10/02/2017
Last updated
10/02/2017
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