Jones, Kellen Kirsch Professional Corp. Valid NPI

Organization · General Practice Dentistry · Lake Forest, CA

NPI

1811910987

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D21375 (CA)

Enumerated

2006-07-26

Last updated

2008-07-25