Organization
KEVIN CHIANG DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CHIANG DDS (CEO)
(310) 564-6231
Entity
Organization
Contact information
Practice address
18250 ROSCOE BLVD STE 345, NORTHRIDGE, CA 91325-4283
(310) 564-6231
Mailing address
2829 LA BONITA DR, HACIENDA HEIGHTS, CA 91745-5151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
11/29/2023
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