Kevin La DDS Professional Dental Corporation
NPI #1053731166 in Fullerton, California
Provider Information
- NPI Number
- 1053731166
- Entity Type
- Organization
- Organization Name
- Kevin La DDS Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 16, 2014
- Last Updated
- Apr 16, 2014
Practice Location
- Address
- 1401 S BROOKHURST RD STE 104
- City
- Fullerton
- State
- California
- ZIP Code
- 92833-4492
- Phone
- (714) 879-2828
Authorized Official
- Name
- DR. KEVIN LA, D.D.S.
- Title
- PRESIDENT
- Phone
- (714) 879-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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