# KEVIN LLOYD KOHLER DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801419338
- **Authorized official:** KEVIN KOHLER (OWNER)
- **Authorized official phone:** (858) 486-4775

## Contact information

- **Practice address:** 13512 POWAY RD, POWAY, CA 92064-4716
- **Practice address phone:** (858) 486-4775
- **Mailing address:** 13512 POWAY RD, POWAY, CA 92064-4716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2020
- **Last updated:** 05/19/2020
