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Individual
DR. KEVIN MA
Active
Individual
DR. KEVIN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037995
PA
1223P0300X
Periodontics
Primary
056313
NY
1223P0300X
Periodontics
DS037995
PA
Other
Enumeration date
11/07/2011
Last updated
09/03/2012
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