Organization
KELVIN CHOU DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN CHOU DDS (OWNER DENTIST)
(858) 558-3636
Entity
Organization
Contact information
Practice address
6235 LUSK BLVD, SAN DIEGO, CA 92121-2731
(858) 558-3636
Mailing address
6235 LUSK BLVD, SAN DIEGO, CA 92121-2731
(858) 558-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102140
DENTAL LICENSE
CA
Enumeration date
06/18/2024
Last updated
06/18/2024
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