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1811079106
KENNETH KA CHAN
SOUTH PASADENA, CA
NPI
1811079106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 47857)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. KENNETH KA CHAN D.D.S.
1315 FAIR OAKS AVE STE 103
SOUTH PASADENA, CA 91030-3868
Phone number: 626-799-8068
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Mailing Address
Dr. KENNETH KA CHAN D.D.S.
1315 FAIR OAKS AVE STE 103
SOUTH PASADENA, CA 91030-3868
Phone number: 626-799-8068
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