Individual
DR. KENNETH KON HSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15845 CHANNEL ST, SUITE A, SAN LORENZO, CA 94580-1441
(510) 276-3711
Mailing address
15845 CHANNEL ST, SUITE A, SAN LORENZO, CA 94580-1441
(510) 276-3711
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
40247
CA
Other
Enumeration date
08/08/2006
Last updated
07/26/2007
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