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Organization
JONES, KELLEN KIRSCH PROFESSIONAL CORP.
Active
Organization
JONES, KELLEN KIRSCH PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M KELLEN D.D.S. (PRESIDENT)
(949) 586-0270
Entity
Organization
Contact information
Practice address
24400 MUIRLANDS BLVD, SUITE D, LAKE FOREST, CA 92630-3946
(949) 586-0270
(949) 859-8446
Mailing address
24400 MUIRLANDS BLVD, SUITE D, LAKE FOREST, CA 92630-3946
(949) 586-0270
(949) 859-8446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D21375
CA
Other
Enumeration date
07/26/2006
Last updated
07/25/2008
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