Organization
KEAN DENTAL INC
Active
Other names
Orange County Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CHRISTOPHER KEAN DDS (PRESIDENT)
(949) 789-8989
Entity
Organization
Contact information
Practice address
15825 LAGUNA CANYON RD STE 206, IRVINE, CA 92618-2127
(949) 789-8989
(949) 453-0970
Mailing address
15825 LAGUNA CANYON RD STE 206, IRVINE, CA 92618-2127
(949) 789-8989
(949) 453-0970
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
51085
CA
1223E0200X
Endodontics
58039
CA
1223G0001X
General Practice Dentistry
57739
CA
1223P0221X
Pediatric Dentistry
49934
CA
1223P0300X
Periodontics
24573
CA
1223P0300X
Periodontics
32308
CA
1223P0700X
Prosthodontics
30399
CA
1223P0700X
Prosthodontics
Primary
57195
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
53163
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
56328
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30693
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
53246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124034129
WILLIAM MIHRAM
CA
01
—
1164698379
FADI KATTAR
CA
01
—
1184678930
CHRISTOPHER PACE
CA
01
—
1225118417
SAM GILANI
CA
01
—
1245459379
MASSOUD KASHANCHI
CA
01
—
1598916058
KEVIN KEAN
CA
01
—
1609944867
STEVE MIAO
CA
01
—
1720117534
HAMILTON LE
CA
01
—
1801003637
BRIAN THAI
CA
01
—
1912114059
ALI MANOUCHEHRI
CA
Enumeration date
03/23/2010
Last updated
03/23/2010
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