Individual
DR. JOHN RICHARD KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3731 TIBBETTS ST, SUITE 10, RIVERSIDE, CA 92506-2604
(951) 683-4790
(951) 683-4795
Mailing address
3731 TIBBETTS STREET, SUITE 10, RIVERSIDE, CA 92606
(951) 683-4790
(951) 683-4795
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48478
CA
Other
Enumeration date
10/17/2006
Last updated
12/12/2012
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