Organization
KENNETH K. CHAN, DDS, A PROFESSIONAL CORPORATION
Active
Other names
Healthy Smile Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KA CHAN D.D.S. (DENTIST)
(626) 799-8068
Entity
Organization
Contact information
Practice address
1315 FAIR OAKS AVE, SUITE 103, SOUTH PASADENA, CA 91030-3868
(626) 799-8068
(626) 799-8069
Mailing address
1315 FAIR OAKS AVE, SUITE 103, SOUTH PASADENA, CA 91030-3868
(626) 799-8068
(626) 799-8069
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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