Jones, Kellen Kirsch Professional Corp.
NPI #1811910987 in Lake Forest, California
Provider Information
- NPI Number
- 1811910987
- Entity Type
- Organization
- Organization Name
- Jones, Kellen Kirsch Professional Corp.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 24400 MUIRLANDS BLVD
- Address 2
- SUITE D
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-3946
- Phone
- (949) 586-0270
Authorized Official
- Name
- DR. PETER M KELLEN, D.D.S.
- Title
- PRESIDENT
- Phone
- (949) 586-0270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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