| Kelvin Chou Dds, Inc | |
|
6235 Lusk Blvd San Diego CA 92121-2731 | |
| (858) 558-3636 | |
| Not Available |
| Full Name | Kelvin Chou Dds, Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6235 Lusk Blvd, San Diego, California |
| Authorized Official Name and Position | Kelvin Chou (OWNER DENTIST) |
| Authorized Official Contact | 8585583636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelvin Chou Dds, Inc 6235 Lusk Blvd San Diego CA 92121-2731 Ph: (858) 558-3636 | Kelvin Chou Dds, Inc 6235 Lusk Blvd San Diego CA 92121-2731 Ph: (858) 558-3636 |
| NPI Number | 1093558819 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093558819 | NPI | - | NPPES |
| 102140 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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