| Kevin B. Dorsey Dds Inc., A Professional Corporation | |
|
3512 E Florence Ave Ste 204 Huntington Park CA 90255-5900 | |
| (323) 589-8507 | |
| (323) 589-4154 |
| Full Name | Kevin B. Dorsey Dds Inc., A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 3512 E Florence Ave Ste 204, Huntington Park, California |
| Authorized Official Name and Position | Kevin Brent Dorsey (OWNER) |
| Authorized Official Contact | 2135001152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin B. Dorsey Dds Inc., A Professional Corporation 3512 E Florence Ave Ste 204 Huntington Park CA 90255-5900 Ph: (323) 589-8507 | Kevin B. Dorsey Dds Inc., A Professional Corporation 3512 E Florence Ave Ste 204 Huntington Park CA 90255-5900 Ph: (323) 589-8507 |
| NPI Number | 1154820686 |
|---|---|
| Provider Enumeration Date | 02/10/2018 |
| Last Update Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154820686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 37976 (California) | Primary |
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