| 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 |