Organization
MK RAYMOND DENTAL CORPORATION PC
Active
Parent organization
MK RAYMOND DENTAL CORPORATION PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MK RAYMOND DENTAL CORPORATION PC
Authorized official
M KYLE RAYMOND (OWNER)
(512) 426-2885
Entity
Organization
Contact information
Practice address
20523 DEVONSHIRE ST, CHATSWORTH, CA 91311-3208
(818) 773-0911
(818) 773-9720
Mailing address
20523 DEVONSHIRE ST, CHATSWORTH, CA 91311-3208
(818) 773-0911
(818) 773-9720
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105526
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
03/03/2021
Last updated
03/03/2021
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