| Kenneth J Pearson Dds Inc | |
| 
					31648 Rancho Viejo Rd #c Sjc CA 92675  | |
| (949) 496-2930 | |
| (949) 496-2962 | 
| Full Name | Kenneth J Pearson Dds Inc | 
|---|---|
| Speciality | Dentist | 
| Location | 31648 Rancho Viejo Rd #c, Sjc, California | 
| Authorized Official Name and Position | Kenneth John Pearson (PRESIDENT) | 
| Authorized Official Contact | 9494962930 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth J Pearson Dds Inc 31648 Rancho Viejo Rd #c Sjc CA 92675 Ph: (949) 496-2930  | Kenneth J Pearson Dds Inc 31648 Rancho Viejo Rd #c Sjc CA 92675 Ph: (949) 496-2930  | 
| NPI Number | 1114033222 | 
|---|---|
| Provider Enumeration Date | 08/22/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114033222 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 31683 (California) | Primary |