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1760504112
KENNETH MICHAEL HOM
SAN JOSE, CA
NPI
1760504112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 28454)
Enumeration Date
2007-04-05
Last Update Date
2007-07-08
Business Address
Dr. KENNETH MICHAEL HOM D.D.S.
3535 ROSS AVE SUITE 205
SAN JOSE, CA 95124-3054
Phone number: 408-266-6104
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Mailing Address
Dr. KENNETH MICHAEL HOM D.D.S.
3535 ROSS AVE SUITE 205
SAN JOSE, CA 95124-3054
Phone number: 408-266-6104
Copy
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