Individual
KEVIN QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32389 ECHO LN BLDG 10, SAN DIEGO, CA 92147-5196
(619) 524-4487
Mailing address
1278 MORAEA ST, SAN DIEGO, CA 92114-7023
(832) 718-8907
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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