Organization
KENNIE KWOK DMD, INC
Active
Other names
San Diego Periodontics & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KENNIE KWOK DMD (PRESIDENT)
(619) 543-0905
Entity
Organization
Contact information
Practice address
4060 4TH AVE STE 303, SAN DIEGO, CA 92103-2120
(619) 543-0905
Mailing address
4060 4TH AVE STE 303, SAN DIEGO, CA 92103-2120
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
65162
CA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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