Organization · Type 2 NPI
Kenneth K. Chan, Dds, A Professional Corporation
Dental Clinic/Center · South Pasadena, CA
NPI number
1043406853
Active
Practice location
1315 Fair Oaks Ave, Suite 103
South Pasadena, CA 91030-3868
Fax (626) 799-8069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1043406853
Kenneth K. Chan, Dds, A Professional Corporation's National Provider Identifier is 1043406853, issued on Sep 15, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Pasadena, CA. The record was last updated on Sep 15, 2007.