KENNETH M FEDOR

SAN DIEGO, CA
NPI1700812393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  39400)
Enumeration Date2006-06-24
Last Update Date2007-07-08
Business Address
Dr. KENNETH M FEDOR D.D.S.
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-557-7525
Mailing Address
Dr. KENNETH M FEDOR D.D.S.
1905 31ST ST
SAN DIEGO, CA 92102-1109
Phone number: 619-236-1941
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