Individual
KELVIN CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
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
102140
CA
1223G0001X
General Practice Dentistry
019028505
IL
Other
Enumeration date
10/18/2010
Last updated
10/03/2024
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