Organization
KENNETH W. MALONE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WARREN MALONE DDS (PRESIDENT/SURGEON)
(661) 945-4040
Entity
Organization
Contact information
Practice address
44439 17TH ST WEST #102, LANCASTER, CA 93534
(661) 945-4040
(661) 945-9120
Mailing address
44439 17TH ST WEST #102, LANCASTER, CA 93534
(661) 945-4040
(661) 945-9120
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
25591
CA
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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