Kenneth Chan, D.D.S

NPI 1811079106 · on the registry since 2006 · sole proprietor

Practice

Address: 1315 Fair Oaks Ave Ste 103
South Pasadena, CA 91030
Phone: (626) 799-8068
Fax: (626) 799-8069
Organisation at this address: Kenneth K. Chan, Dds, A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California