Individual provider · NPI-1

Dr. Kenneth Allan Chernow, DMD

Dentist, General Practice · Monterey Park, CA

NPI number1770600561
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1770600561
Entity type
Individual (NPI-1)
Name
Dr. Kenneth Allan Chernow
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 25, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice20993CAYes

Practice location

2312 S Garfield Ave
Monterey Park, CA 91754-7220

Phone 323-722-1315 · Fax 323-722-4895

Mailing address

2312 S Garfield Ave
Monterey Park, CA 91754-7220

Phone 323-722-1315 · Fax 323-722-4895

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