| NPI | 1679239065 |
|---|---|
| Doing Business As | KEVIN L. JAN, D.M.D INC. |
| Entity Type | Organization |
| Authorized Contact | KEVIN JAN CEO/Owner 918-809-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |