NPI | 1518354653 |
---|---|
Other Name | KEVIN QUAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 101034) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV LL-414-16) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2023-09-03 |