| Ky Dental Professional Corporation | |
|
302 E Carson St Ste 100 Carson CA 90745-8507 | |
| (559) 393-1929 | |
| Not Available |
| Full Name | Ky Dental Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 302 E Carson St Ste 100, Carson, California |
| Authorized Official Name and Position | Verock Ky (PRESIDENT) |
| Authorized Official Contact | 5593931929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ky Dental Professional Corporation Po Box 994 Morro Bay CA 93443-0994 Ph: (559) 393-1929 | Ky Dental Professional Corporation 302 E Carson St Ste 100 Carson CA 90745-8507 Ph: (559) 393-1929 |
| NPI Number | 1447113519 |
|---|---|
| Provider Enumeration Date | 12/05/2025 |
| Last Update Date | 12/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447113519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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