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DR. KENNETH ALLEN STORUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2655 CAMINO DEL RIO NORTH #140, SAN DIEGO, CA 92108
(619) 282-7088
(619) 282-6290
Mailing address
2655 CAMINO DEL RIO NORTH #140, SAN DIEGO, CA 92108
(619) 282-7088
(619) 282-6290

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
030774
CA

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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