Individual
DR. KEVIN BRENT DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3512 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5900
(323) 589-6765
(323) 589-4154
Mailing address
3512 E. FLORENCE AVE., HUNTINGTON PARK, CA 90255
(310) 378-6249
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37976
CA
Other
Enumeration date
08/15/2006
Last updated
10/21/2021
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