| NPI | 1073966057 |
|---|---|
| Doing Business As | SAN DIEGO PERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENNIE KWOK President 619-543-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 65162) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |