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Individual

DR. ADRIAN PAUL KAVANAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
14305 BASELINE AVE, FONTANA, CA 92336-3631
(909) 355-1700
Mailing address
7057 ALOE LN, FONTANA, CA 92336-2902
(909) 609-4431

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D012222
AZ
1223G0001X
General Practice Dentistry
Primary
DDS112361
CA

Other

Enumeration date
06/19/2024
Last updated
11/24/2025
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